Organization · Type 2 NPI
Sage Memorial Hospital
Clinic Pharmacy · Ganado, AZ
NPI number
1447315494
Active
Practice location
Hwy 264 And 191
Ganado, AZ 86505
Fax (928) 755-4659
Mailing address
PO Box 457
Ganado, AZ 86505-0457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic Pharmacy Primary | 3336C0002X | Y000758 (AZ) |
| Managed Care Organization Pharmacy | 3336M0003X | None listed |
Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
About NPI 1447315494
Sage Memorial Hospital's National Provider Identifier is 1447315494, issued on Dec 27, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Ganado, AZ. The record was last updated on Jun 9, 2009.