Organization
LISKA'S APOTHECARY SHOP, INC.
Active
Other names
Liska's Apothecary Shop
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ADRIAN LISKA PHARMD (PHARMACIST)
(928) 855-0106
Entity
Organization
Contact information
Practice address
1840 MESQUITE AVE, SUITE E., LAKE HAVASU CITY, AZ 86403-5771
(928) 855-0106
(928) 855-7653
Mailing address
1840 MESQUITE AVE, SUITE E., LAKE HAVASU CITY, AZ 86403-5771
(928) 855-0106
(928) 855-7653
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1325
AZ
Other
Enumeration date
10/12/2006
Last updated
10/07/2023
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