Organization
ARIZONA CVS STORES
Active
Parent organization
ARIZONA CVS STORES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA CVS STORES
Authorized official
DUAA ELAMIN RPH (PHARMACIST)
(714) 331-0309
Entity
Organization
Contact information
Practice address
75 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86403-5651
(928) 854-6300
Mailing address
75 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86403-5651
(928) 854-6300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/21/2020
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