Organization
MOHAVE PHARMACY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNST M KRUGER (PHARMACIST IN CHARGE)
(928) 234-5522
Entity
Organization
Contact information
Practice address
5225 S HIGHWAY 95 STE 9, FORT MOHAVE, AZ 86426-9111
(928) 768-3356
Mailing address
5225 S HIGHWAY 95 STE 9, FORT MOHAVE, AZ 86426-9111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005643
AZ
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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