National Provider Identifier Database

MOUNTAIN PARK HEALTH CENTER
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MOUNTAIN PARK HEALTH CENTER
6601 W THOMAS RD
PHOENIX, AZ85033-5700
Phone: 602-323-8181
Fax: 602-247-1238
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MOUNTAIN PARK HEALTH CENTER

NPI Number 1578741120
Legal business name
LBN
MOUNTAIN PARK HEALTH CENTER
Authorized official MARY SOTO - (ASSOCIATE PHARMACY DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 02/06/2008
Last updated 11/21/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 4078
  • AZ Medicaid: 914912
  • AZ Other: 4078 BOARD OF PHARMACY

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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