HAVASU HEALTH CARE PHARM NPI 1255591418

NPI Information

HAVASU HEALTH CARE PHARM is a long term care pharmacy pharmacy in Lake Havasu City, AZ. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HAVASU HEALTH CARE PHARM NPI is 1255591418. The provider is registered as an organization entity type.
The provider Is Doing Business As Havasu Health Care Pharm.

The provider's business location address is:

3560 CHALLENGER DR
STE 106
LAKE HAVASU CITY, AZ
ZIP 86406-152
Phone: (928) 855-9888
Fax: (928) 855-9888

The provider's authorized official is Kelly Dahlberg .
The authorized official title is Owner and has the following contact phone number (928) 855-9888.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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