Pascua Yaqui Pharmacy
LBN: Pascua Yaqui Tribe
Pascua Yaqui Pharmacy is an health care organization with primary practice located at 4567 W Tetakusim Rd , Tucson AZ 85746-9713. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty.
Pascua Yaqui Tribe can be contacted via phone (520) 879-6373, or through Guerrero, Linda via phone (520) 879-6039.
Contact Information
Primary practice address
4567 W Tetakusim Rd
Tucson AZ 85746-9713
Phone: (520) 879-6373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1730826355 |
|---|---|
| LBN Legal business name | Pascua Yaqui Tribe |
| DBA Doing business as | Pascua Yaqui Pharmacy |
| Authorized official | Guerrero, Linda |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 16th, 2022 |
| Last updated | Jun 27th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730826355 | NPPES |
| Arizona | MEDICAID | 570192 |
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