| Organization Name: | KAYENTA HEALTH CENTER PHARMACY |
| NPI Number: | 1477931632 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER ANDERSON (DIRECTOR OF PHARMACY) |
| Mailing Address: | Hwy-163 Building Ka-4010 Kayenta |
| State: | AZ US |
| Postal Code: | 860330368 |
| Phone Number: | 9286974165 |
| Fax Number: | 9286974168 |
| NPI Enumeration Date: | 05/08/2015 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 18560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |