| NPI | 1235410309 |
|---|---|
| Doing Business As | SACRED PEAKS HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LYNETTE BONAR Chief Executive Officer 928-283-2944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2019-09-10 |