CHIRICAHUA COMMUNITY HEALTH CENTERS INC

Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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Contact Information

CHIRICAHUA COMMUNITY HEALTH CENTERS INC

335 S OCOTILLO AVENUE
BENSON, AZ 85602

Phone: 520-586-4699
Fax: 520-586-4691
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CHIRICAHUA COMMUNITY HEALTH CENTERS INC

NPI # 1437651288

LBN Legal business name CHIRICAHUA COMMUNITY HEALTH CENTERS INC

Authorized official JONATHAN MELK - (PHARMACY MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/07/2018

Last updated 09/01/2021 - About 5 years ago

Identifiers

AZ	License #	Y007570
AZ	Medicaid	401006

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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