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Contact Information

SUN LIFE FAMILY HEALTH CENTER, INC.
23 MCNAB PARKWAY
SAN MANUEL, AZ85631
 Phone: 520-385-2236
 Fax: 520-381-3237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SUN LIFE FAMILY HEALTH CENTER, INC.

NPI Number 1851457295
LBN Legal business name SUN LIFE FAMILY HEALTH CENTER, INC.
Authorized official MATTHEW BERTSCH - (DIRECTOR OF PHARMACY/AO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2006
Last updated 08/02/2024 - More than a year ago
Identifiers
AZ License # Y03203
AZ Medicaid 494576
AZ Other 0324070 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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