Organization
WESTERN DRUG INC
Active
Other names
ST JOHNS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HARPER RPH (OWNER)
(928) 333-2916
Entity
Organization
Contact information
Practice address
1155 W CLEVELAND, ST JOHNS, AZ 85936
(928) 337-2229
(928) 337-2500
Mailing address
PO BOX 517, SAINT JOHNS, AZ 85936-0517
(928) 337-2229
(928) 337-2500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y003477
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997484
PK
—
05
—
618887
—
AZ
Enumeration date
09/05/2006
Last updated
06/13/2016
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