Organization
1ST CARE PHARMACY LLC
Active
Other names
1st Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAMECK NYAKWEBA (PHARMACY DIRECTOR)
(623) 932-9800
Entity
Organization
Contact information
Practice address
1300 S WATSON RD STE 104A, BUCKEYE, AZ 85326-6264
(623) 251-3201
(623) 251-3205
Mailing address
1300 S WATSON RD STE 104A, BUCKEYE, AZ 85326-6264
(623) 251-3201
(623) 251-3205
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y005289
AZ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356801
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2010
Last updated
10/25/2010
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