Kingman Hometown Pharmacy

LBN: Kingman Hometown Pharmacy Llc
Kingman Hometown Pharmacy is an health care organization with primary practice located at 2370 Northern Ave Ste A , Kingman AZ 86409-2573. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kingman Hometown Pharmacy Llc can be contacted via phone (928) 681-4888, or through Velez, Jennifer via phone (928) 681-4888.

Contact Information

Primary practice address
2370 Northern Ave Ste A Kingman AZ 86409-2573
Phone: (928) 681-4888
Fax: (928) 681-4534
Website:
Map and Directions
Authorized official contact:
Name: Velez, Jennifer
Phone: (928) 681-4888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4304 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1912918590
LBN Legal business name Kingman Hometown Pharmacy Llc
DBA Doing business as Kingman Hometown Pharmacy
Authorized official Velez, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jul 21st, 2008 - about 17 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 1912918590 NPPES
Other 0352992 OTHER ID NUMBER-COMMERCIAL NUMBER

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