KINGMAN HOMETOWN PHARMACY LLC NPI 1912918590

NPI Information

KINGMAN HOMETOWN PHARMACY LLC is a pharmacy in Kingman, AZ. The provider 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. KINGMAN HOMETOWN PHARMACY LLC NPI is 1912918590. The provider is registered as an organization entity type.
The provider Is Doing Business As Kingman Hometown Pharmacy.

The provider's business location address is:

2370 NORTHERN AVE STE A
KINGMAN, AZ
ZIP 86409-573
Phone: (928) 681-4888
Fax: (928) 681-4534

The provider's authorized official is Jennifer Velez .
The authorized official title is Mgr and has the following contact phone number (928) 681-4888.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/21/2008.

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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