Home » Arizona » 86556 » Tsaile Health Center Pharmacy

Tsaile Health Center Pharmacy

Tsaile Health Center Pharmacy is a health care provider in Tsaile, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Intersection Rt 64 And 12, Tsaile, AZ 86556, US
Practice Location Phone928-724-3643
Practice Location Fax928-724-3605
Legal Business NameTSAILE HEALTH CENTER PHARMACY
Other Organization NameTSAILE HEALTH CENTER PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1659490225
Entity TypeOrganization
Enumeration Date ? Mar 28, 2007
Last Update Date ? Nov 9, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Tsaile Health Center Pharmacy

SpecialtySpecializationLicenseLicense State
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

legacy-id-icon Legacy Provider IDs of Tsaile Health Center Pharmacy

Provider IdIssuer StateIssuer TypeIssuer
1991278OtherPK
061119ArizonaMedicaid
61119ArizonaMedicaid

official-icon Authorized Official of Tsaile Health Center Pharmacy

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Tsaile Health Center Pharmacy's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official James Cummings (PHARMD)
Authorized Official Title/PositionPHARMACY PROGRAM SPECIALIST
Authorized Official Phone Number405-951-6086