Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
VALLEYWISE HEALTH MEDICAL CENTER - DISCHARGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SOGARD (DIRECTOR OF PHARMACY)
(602) 344-5253
Entity
Organization
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5945
(602) 344-5896
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5945
(602) 344-5896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y004187
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989613
PK
—
05
—
20107
—
AZ
Enumeration date
06/19/2006
Last updated
10/24/2019
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