Organization
CANYONLANDS COMMUNITY HEALTH CARE
Active
Organization
CANYONLANDS COMMUNITY HEALTH CARE
Active
Other names
Canyonlands Community Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LEWANDOWSKI PHARMD (DIRECTOR OF PHARMACY, PIC, AO)
(928) 645-6620
Entity
Organization
Contact information
Practice address
467 VISTA AVENUE, PAGE, AZ 86040
(928) 645-6620
(928) 645-6621
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-6620
(928) 645-6621
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689021933
—
UT
05
—
174027
—
AZ
01
—
2160535
PK
—
Enumeration date
05/17/2016
Last updated
09/23/2021
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