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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