National Provider Identifier Database

SAN CARLOS APACHE HEALTHCARE CORPORATION
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.


Contact Information

SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY ROAD
PERIDOT, AZ85542
Phone: 928-475-1200
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for SAN CARLOS APACHE HEALTHCARE CORPORATION

NPI Number 1861875536
Legal business name
LBN
SAN CARLOS APACHE HEALTHCARE CORPORATION
Authorized official VICTORIA BEGAN - (INTERIM CEO)
Entity Organization
Organization subpart No
Enumeration date 06/30/2015
Last updated 11/15/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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