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FORT DEFIANCE INDIAN HOSP PHARMACY NPI 1669501540


NPI Information

NPI: 1669501540
Provider Name: FORT DEFIANCE INDIAN HOSP PHARMACY

Doing Business As: FORT DEFIANCE INDIAN HOSP PHARMACY

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
INTERSECTION OF HWY 12 AND HWY 7
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8328
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FORT DEFIANCE INDIAN HOSP PHARMACY is an indian health service tribal urban indian health i t u pharmacy in Fort Defiance, 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. FORT DEFIANCE INDIAN HOSP PHARMACY NPI is 1669501540. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Defiance Indian Hosp Pharmacy.

The provider's business location address is:

INTERSECTION OF HWY 12 AND HWY 7
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8328
Fax: (928) 729-8348

The provider's authorized official is Pamela Schweitzer .
The authorized official title is Ihs Pharmacy Consultant and has the following contact phone number (602) 364-5277.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 1/29/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10324424OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
266645MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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.