Organization
TON SAN SIMON HEALTH CENTER
Active
Other names
TON SAN SIMON HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNITA M HOFFMAN (CHIEF EXECUTIVE OFFICER)
(520) 383-7200
Entity
Organization
Contact information
Practice address
HIGHWAY 86, MILEPOST 84, SELLS, AZ 85634
(520) 362-7007
Mailing address
DHHS PHS IHS TUCSON AREA, PO BOX 31001-1021, PASADENA, CA 91110-1021
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0355188
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/19/2008
Last updated
11/18/2024
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