Mojave Medication Management Pllc

LBN: Mojave Medication Management Pllc
Mojave Medication Management Pllc is an health care organization with primary practice located at 2328 Ryan Way , Bullhead City AZ 86442-8699. The organization recently has only one registered license in Suppliers / Managed Care Organization Pharmacy, which is considered as the primary health care specialty. Mojave Medication Management Pllc can be contacted via phone (928) 296-0238, or through Bacon, Dwaynie via phone (282) 960-2389.

Contact Information

Primary practice address
2328 Ryan Way Bullhead City AZ 86442-8699
Phone: (928) 296-0238
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bacon, Dwaynie PHARMD.
Phone: (282) 960-2389

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1922990290
LBN Legal business name Mojave Medication Management Pllc
DBA Doing business as
Authorized official Bacon, Dwaynie PHARMD.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2025
Last updated Jul 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.

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