<Unavail>
LBN: Desert West Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 1099 E Sunrise Ave , Kingman AZ 86401-6825. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Desert West Pharmacy Inc can be contacted via phone (928) 718-5418, or through Owens, Linda via phone (928) 718-5418.
Contact Information
Primary practice address
1099 E Sunrise Ave
Kingman AZ 86401-6825
Phone: (928) 718-5418
Fax: (928) 718-5419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | Y004151 | Arizona |
Profile Details
| NPI number | 1003827684 |
|---|---|
| LBN Legal business name | Desert West Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Owens, Linda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Sep 19th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003827684 | NPPES |
| Other | 1991894 | PK | |
| MEDICAID | 919227 | PK |
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