San Carlos Apache Healthcare Corporation
Pharmacy
103 Medicine Way Road, Peridot
Arizona, 85542
928-475-1200 San Carlos Apache Healthcare Corporation is a Pharmacy in Peridot, Arizona. It is located at 103 Medicine Way Road, Peridot and it's customer support contact number is 928-475-1200. The authorized person of San Carlos Apache Healthcare Corporation is Victoria Began who is Interim Ceo of the pharmacy and his contact number is 928-475-1201. San Carlos Apache Healthcare Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
San Carlos Apache Healthcare Corporation is 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.
Pharmacy Details:
San Carlos Apache Healthcare Corporation 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: | San Carlos Apache Healthcare Corporation |
| Type: | Pharmacy |
| Location: | 103 Medicine Way Road, Peridot,
Arizona, 85542 |
| Phone: | 928-475-1200 |
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: | Victoria Began |
| Position: | Interim Ceo |
| Contact Number: | 928-475-1201 |
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: | 1861875536 |
| NPI Enumeration Date: | 30 Jun, 2015 |
| NPI Last Update On: | 15 Nov, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for San Carlos Apache Healthcare Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
Medicare Enrollment:
San Carlos Apache Healthcare Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0648580597 | O20161115002165 | San Carlos Apache Healthcare Corporation | PART B SUPPLIER - OTHER |
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 787,
Peridot, Arizona |
| Zip: | 85542-0787 |
| Phone Number: | 928-475-1200 |
Patients can reach San Carlos Apache Healthcare Corporation at
103 Medicine Way Road, Peridot, Arizona or can
call on customer care at 928-475-1200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.