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EZYFAST PHARMACY L L C NPI 1366717860


NPI Information

NPI: 1366717860
Provider Name: EZYFAST PHARMACY L L C

Doing Business As: EZYFAST PHARMACY L.L.C

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2580 HIGHWAY 95 STE 106
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 219-5912
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EZYFAST PHARMACY L L C is a community/retail pharmacy pharmacy in Bullhead City, AZ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. EZYFAST PHARMACY L L C NPI is 1366717860. The provider is registered as an organization entity type.
The provider Is Doing Business As Ezyfast Pharmacy L.l.c.

The provider's business location address is:

2580 HIGHWAY 95 STE 106
BULLHEAD CITY, AZ
ZIP 86442-324
Phone: (928) 219-5912
Fax: (928) 219-5915

The provider's authorized official is Ezekiel Kesitilwe .
The authorized official title is Owner and has the following contact phone number (928) 230-9812.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 5/22/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyY005478ARIZONAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10357447OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2697715MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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