Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
VALLEYWISE COMMUNITY HEALTH CENTER - GLENDALE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SOGARD (DIRECTOR OF PHARMACY)
(602) 344-5253
Entity
Organization
Contact information
Practice address
5141 W LAMAR RD, GLENDALE, AZ 85301-3423
(623) 344-6720
(623) 344-6706
Mailing address
5141 W LAMAR RD, GLENDALE, AZ 85301-3423
(623) 344-6720
(623) 344-6706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y004183
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157174
—
AZ
01
—
1997579
PK
—
Enumeration date
06/19/2006
Last updated
10/24/2019
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