Northern Arizona Pharmacy Llc

LBN: Northern Arizona Pharmacy Llc
Northern Arizona Pharmacy Llc is an health care organization with primary practice located at 20172 E Stagecoach Trl Ste A , Cordes Lakes AZ 86333-2357. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Northern Arizona Pharmacy Llc can be contacted via phone (928) 968-5040, or through Dykstra, Jason James via phone (928) 515-0046.

Contact Information

Primary practice address
20172 E Stagecoach Trl Ste A Cordes Lakes AZ 86333-2357
Phone: (928) 968-5040
Fax: (928) 968-5041
Website:
Map and Directions
Authorized official contact:
Name: Dykstra, Jason James PHARMD
Phone: (928) 515-0046

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1669060166
LBN Legal business name Northern Arizona Pharmacy Llc
DBA Doing business as
Authorized official Dykstra, Jason James PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2021
Last updated Jan 10th, 2021 - about 3 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 1669060166 NPPES
Arizona Other Y008474 ARIZONA STATE BOARD OF PHARMACY

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