National Provider Identifier Database

MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
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

MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
1950 S COUNTRY CLUB DR
MESA, AZ85210-6043
Phone: 602-506-6665
Fax: 602-506-5078
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH

NPI Number 1629867056
Legal business name
LBN
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Authorized official JOEL KODICEK - (SPECIALIZED SERVICES SUPERVISOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/02/2025
Last updated 05/02/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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