Organization
1ST CARE PHARMACY LLC
Active
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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