Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
4212 N 16th St, Phoenix
Arizona, 85016-5319
602-263-1200 602-263-1619
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Phoenix, Arizona. It is located at 4212 N 16th St, Phoenix and it's customer support contact number is 602-263-1200. The authorized person of Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is Laura A Tillman, MD who is Chief Medical Officer of the pharmacy and his contact number is 602-263-1567. Active license number of Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is AZS07912 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Arizona.
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 4212 N 16th St, Phoenix,
Arizona, 85016-5319 |
| Phone: | 602-263-1200 |
| Fax: | 602-263-1619 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Laura A Tillman |
| Credentials: | MD |
| Position: | Chief Medical Officer |
| Contact Number: | 602-263-1567 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1801900766 |
| NPI Enumeration Date: | 18 Aug, 2006 |
| NPI Last Update On: | 19 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | AZS07912 | Arizona | Primary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0324602 | Other | | Ncpdp Provider Identification Number |
| 022062 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 95460,
Cleveland, Ohio |
| Zip: | 44101-0033 |
| Phone Number: | 602-581-6088 |
| Fax Number: | 602-263-1619 |
Patients can reach Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm at
4212 N 16th St, Phoenix, Arizona or can
call on customer care at 602-263-1200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.