National Provider Identifier Database

MARANA HEALTH CENTER INC
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

MARANA HEALTH CENTER INC
13395 N MARANA MAIN ST
MARANA, AZ85653-7008
Phone: 520-682-1095
Fax: 520-682-2196
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MARANA HEALTH CENTER INC

NPI Number 1861544942
Legal business name
LBN
MARANA HEALTH CENTER INC
Authorized official CLINTON KUNTZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/17/2007
Last updated 10/04/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 4075
  • AZ Medicaid: 510768
  • AZ Other: 329592 AHCCCS GROUP NUMBER

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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