<Unavail>
LBN: Ezyfast Pharmacy L L C
<Unavail> is an health care organization with primary practice located at 2580 Highway 95 Ste 106 , Bullhead City AZ 86442-7324. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ezyfast Pharmacy L L C can be contacted via phone (928) 219-5912, or through Kesitilwe, Ezekiel via phone (928) 230-9812.
Contact Information
Primary practice address
2580 Highway 95 Ste 106
Bullhead City AZ 86442-7324
Phone: (928) 219-5912
Fax: (928) 219-5915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y005478 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1366717860 |
|---|---|
| LBN Legal business name | Ezyfast Pharmacy L L C |
| DBA Doing business as | <Unavail> |
| Authorized official | Kesitilwe, Ezekiel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2012 |
| Last updated | May 22nd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366717860 | NPPES |
| Arizona | MEDICAID | 697715 | |
| Arizona | Other | 0357447 |
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