Organization
DIGNITY HEALTH
Active
Organization
DIGNITY HEALTH
Active
Other names
UA Cancer Center/Dignity Health St. Joseph's Outpt Pharm
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEACH (DIRECTOR OF PHARMACY/AO)
(602) 406-0353
Entity
Organization
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-0350
(602) 406-0673
Mailing address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-0350
(602) 406-0673
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006423
AZ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174414
—
AZ
01
—
2156055
PK
—
Enumeration date
11/24/2015
Last updated
10/06/2016
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