Organization
SUN LIFE FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BERTSCH (DIRECTOR OF PHARMACY/AO)
(520) 836-3446
Entity
Organization
Contact information
Practice address
580 N CAMINO MERCADO STE 8, CASA GRANDE, AZ 85122-5757
(520) 532-1000
(520) 381-3237
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 381-3237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y009085
PHARMACY PERMIT
AZ
Enumeration date
11/23/2021
Last updated
08/02/2024
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