OrganizationActive
Maricopa County Department of Public Health
NPI 1629867056 · Clinic Pharmacy · Mesa, AZ
Provider details
- NPI number
- 1629867056
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Parent organization
- Maricopa County
- Organization subpart
- Yes
- Authorized official
- Joel Kodicek, Specialized Services Supervisor(480) 662-5475
Specialties & taxonomies
Suppliers
Practice location
1950 S Country Club Dr
Mesa, AZ 85210-6043
Phone: (602) 506-6665
Fax: (602) 506-5078
Approximate (ZIP-level) locationGet directions
Mailing address
1645 E Roosevelt St
Phoenix, AZ 85006-3638
Registry dates
- Enumerated
- 2025-05-02
- Last updated
- 2025-05-02
- Certified
- 2025-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.