| Organization Name: | WESTERN REGIONAL MEDICAL CENTER INC. HOSPITAL PHARMACY |
| NPI Number: | 1124278882 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRYSTAL L HICKS (DIRECTOR OF PHARMACY) |
| Mailing Address: | 12725 W Indian School Rd Ste C105 Avondale |
| State: | AZ US |
| Postal Code: | 853929523 |
| Phone Number: | 6028100771 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2008 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 284300000X |
| License Number: | Y005026 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Special Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |