Organization
BRIDGE MEDICAL SERVICES LLC
Active
Organization
BRIDGE MEDICAL SERVICES LLC
Active
Other names
sunrise pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZEKIEL KEERENG KESITILWE PHARMD (MANAGER)
(928) 230-9812
Entity
Organization
Contact information
Practice address
1955 MCCULLOCH BLVD N # 100, LAKE HAVASU CITY, AZ 86403-5739
(928) 230-9812
Mailing address
PO BOX 1257, LAKE HAVASU CITY, AZ 86405-1257
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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