Healthcare Provider Details

I. General information

NPI: 1235268947
Provider Name (Legal Business Name): HUHUKAM MEMORIAL HOSPITAL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 W SEED FARM RD
SACATON AZ
85247
US

IV. Provider business mailing address

483 W SEED FARM RD PO BOX 38
SACATON AZ
85247
US

V. Phone/Fax

Practice location:
  • Phone: 602-528-1229
  • Fax: 602-528-1262
Mailing address:
  • Phone: 602-528-1229
  • Fax: 602-528-1262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332800000X
TaxonomyIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MEENA BHARGAVA
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 602-528-1200