Organization
CANYONLANDS COMMUNITY HEALTH CARE
Active
Parent organization
CANYONLANDS COMMUNITY HEALTH CARE
Other names
Canyonlands Healthcare - Mesquite Pharmacy, Canyonlands Healthcare - Mesquite
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official
MARI A REED (DIRECTOR OF OPERATIONS)
(928) 645-9675
Entity
Organization
Contact information
Practice address
210 N SANDHILL BLVD, MESQUITE, NV 89027-4789
(702) 849-0558
(702) 346-2147
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH04420
STATE LICENSE
NV
Enumeration date
06/14/2022
Last updated
06/14/2022
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