Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

NPI #1801900766 in Phoenix, Arizona

Provider Information

NPI Number
1801900766
Entity Type
Organization
Organization Name
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Aug 18, 2006
Last Updated
May 19, 2023

Practice Location

Address
4212 N 16TH ST
State
Arizona
ZIP Code
85016-5319
Phone
(602) 263-1200

Authorized Official

Name
LAURA A TILLMAN, MD
Title
CHIEF MEDICAL OFFICER
Phone
(602) 263-1567

Specialties & Taxonomy Codes

Specialty
Pharmacy - Specialty PharmacySpecialty Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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