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SUN LIFE FAMILY HEALTH CENTER INC. NPI 1851457295


NPI Information

NPI: 1851457295
Provider Name: SUN LIFE FAMILY HEALTH CENTER, INC.
Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 03D0707671

Address:
23 MCNAB PARKWAY
SAN MANUEL, AZ
ZIP 85631
Phone: (520) 385-2234
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SUN LIFE FAMILY HEALTH CENTER, INC. is a pharmacist in San Manuel, AZ. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. SUN LIFE FAMILY HEALTH CENTER, INC. NPI is 1851457295. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23 MCNAB PARKWAY
SAN MANUEL, AZ
ZIP 85631
Phone: (520) 385-2234
Fax: (520) 381-3209

The provider's authorized official is Travis Robinette .
The authorized official title is Ceo and has the following contact phone number (520) 836-3446.

The CLIA number assigned to this NPI record is 03D0707671 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 10/5/2010.


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
1183500000XPharmacistY03203ARIZONAYes

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
1494576MEDICAIDARIZONA
20324070OTHERARIZONANCPDP

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

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