Havasu Health Care Pharm in Lake Havasu City - Managed Care Organization Pharmacy
Havasu Health Care Pharm - NPI 1255591418
Havasu Health Care Pharm is a Managed Care Organization Pharmacy in Lake Havasu City, Arizona. Havasu Health Care Pharm practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Havasu Health Care Pharm is 1255591418. The last update date is 2008-06-11.
Havasu Health Care Pharm's current location address is 3560 Challenger Dr, Lake Havasu City, Arizona. You can contact this provider via phone number 9288559888 and fax number 9288559888. The mailing address for Havasu Health Care Pharm is 3560 Challenger Dr, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Havasu Health Care Pharm |
|---|---|
| Address | 3560 Challenger Dr, Lake Havasu City, Arizona |
| Phone Number | 9288559888 |
| Fax Number | 9288559888 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dahlberg Kelly |
| Telephone Number | 9288559888 |
NPI Number Detail
| NPI Number | 1255591418 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 3560 Challenger Dr |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864069152 |
| Phone Number | 9288559888 |
| Fax Number | 9288559888 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
|
Definition: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 355366 | OTHER ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Havasu Health Care Pharm by the Centers for Medicare & Medicaid Services?
The Havasu Health Care Pharm has been issued the NPI (National Provider Identifier) 1255591418, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Havasu Health Care Pharm is geographically located?
The Havasu Health Care Pharm is physically situated at the following location: 3560 Challenger Dr, Lake Havasu City, AZ, 864069152.
What is the Havasu Health Care Pharm's area of specialization and corresponding taxonomy classification?
The Havasu Health Care Pharm's specialty field is Managed Care Organization Pharmacy, and it falls under the taxonomy code 3336M0003X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255591418 to Havasu Health Care Pharm?
The Centers for Medicare & Medicaid Services originally issued the 1255591418 to Havasu Health Care Pharm on 2008-06-11.
As of what date were the details related to Havasu Health Care Pharm most recently updated or revised?
The information pertaining to Havasu Health Care Pharm, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-11.