Organization
LISKA'S APOTHECARY SHOP, INC.
Active
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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