GILA RIVER HEALTH CARE CORPORATION NPI 1144359852

NPI Information

GILA RIVER HEALTH CARE CORPORATION is an indian health service tribal urban indian health i t u pharmacy in Laveen, AZ. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. GILA RIVER HEALTH CARE CORPORATION NPI is 1144359852. The provider is registered as an organization entity type.
The provider Is Doing Business As Komatke Pharmacy.

The provider's business location address is:

17487 S HEALTHCARE DR
LAVEEN, AZ
ZIP 85339-500
Phone: (520) 550-6022
Fax: (520) 550-6028

The provider's authorized official is Larry Croll .
The authorized official title is Director, Pharmacy and has the following contact phone number (602) 528-1200.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 4/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.