DILKON MEDICAL CENTER PHARMACY; NPI #1659837615

Contact Information

DILKON MEDICAL CENTER PHARMACY

1 MEDICAL CENTER DRIVE
DILKON, AZ 86047

Phone: 928-289-4646
Fax: 928-289-6290
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for DILKON MEDICAL CENTER PHARMACY

NPI # 1659837615

LBN Legal business name DILKON MEDICAL CENTER PHARMACY

Authorized official VIRGIL DAVIS - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/14/2019

Last updated 02/04/2026 - About 4 months ago

Identifiers

Medicaid

728719

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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