OrganizationActive
Gila River Health Care Corporation
NPI 1144359852 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Laveen, AZ
Provider details
- NPI number
- 1144359852
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Larry Croll, Director, Pharmacy(602) 528-1200
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
17487 S Healthcare Dr
Laveen, AZ 85339-8500
Phone: (520) 550-6022
Fax: (520) 550-6028
Approximate (ZIP-level) locationGet directions
Mailing address
17487 S Healthcare Dr
Laveen, AZ 85339-8500
Other names (DBA / former)
- Doing business as
- Komatke Pharmacy
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2017-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.