Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL HANNO (PHARMACY MANAGER)
(928) 526-6505
Entity
Organization
Contact information
Practice address
3506 E ROUTE 66, FLAGSTAFF, AZ 86004-4033
(928) 526-6505
Mailing address
3506 E ROUTE 66, FLAGSTAFF, AZ 86004-4033
(928) 526-6505
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
S020237
AZ
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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