National Provider Identifier Database

DILKON MEDICAL CENTER PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

DILKON MEDICAL CENTER PHARMACY
1 MEDICAL CENTER DRIVE
DILKON, AZ86047
Phone: 928-289-4646
Fax: 928-289-6290
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for DILKON MEDICAL CENTER PHARMACY

NPI Number 1659837615
Legal business name
LBN
DILKON MEDICAL CENTER PHARMACY
Authorized official VIRGIL DAVIS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 02/14/2019
Last updated 02/04/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 728719

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.

Reviews for DILKON MEDICAL CENTER PHARMACY

There are currently no reviews for DILKON MEDICAL CENTER PHARMACY


NPIdb - Home
v2.201