Desert West Pharmacy

LBN: Desert West Pharmacy Inc
Desert West Pharmacy 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:
Map and Directions
Authorized official contact:
Name: Owens, Linda
Phone: (928) 718-5418

Health care specialties

SpecialtyCodeLicense #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 Desert West Pharmacy
Authorized official Owens, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 19th, 2018 - about 8 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003827684 NPPES
Other 1991894 PK
MEDICAID 919227 PK

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