SAN CARLOS APACHE HEALTHCARE CORPORATION PHARMACY
NPI 1861875536
Pharmacy in Peridot, AZ

Q: What is San Carlos Apache Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since June 30, 2015

103 MEDICINE WAY ROAD, PERIDOT, AZ 85542(928) 475-1200 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About San Carlos Apache Healthcare Corporation Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN CARLOS APACHE HEALTHCARE CORPORATION PHARMACY (NPI 1861875536) is a healthcare organization registered as a pharmacy in Peridot, Arizona and active in the NPI registry since June 2015. The organization lists Victoria Began, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1861875536

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSAN CARLOS APACHE HEALTHCARE CORPORATION

Location Address103 MEDICINE WAY ROADPeridot, AZ 85542

Mailing AddressPo Box 787Peridot, AZ 85542-0787 · (928) 475-1200

Phone(928) 475-1200

Organization SubpartNo

Authorized OfficialVictoria BeganInterim Ceo · (928) 475-1201

Enumeration DateJune 30, 2015

Last NPPES UpdateNovember 15, 2016

✔ NPI 1861875536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

103 MEDICINE WAY ROAD, Peridot, AZ 85542

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Other Names 1

Doing Business AsSan Carlos Apache Healthcare Corporation Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN CLUFF PHARMD

Pharmacist