Organization
DESERT WEST PHARMACY INC
Active
Other names
DESERT WEST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA OWENS (ADMIN)
(928) 718-5418
Entity
Organization
Contact information
Practice address
1099 E SUNRISE AVE, KINGMAN, AZ 86401-6825
(928) 718-5418
(928) 718-5419
Mailing address
1099 E SUNRISE AVE, KINGMAN, AZ 86401-6825
(928) 718-5418
(928) 718-5419
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y004151
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991894
PK
—
05
—
919227
—
AZ
Enumeration date
08/10/2006
Last updated
09/19/2025
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