Organization
KACHINA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PLATT (OWNER)
(928) 726-4081
Entity
Organization
Contact information
Practice address
2180 S 4TH AVE, SUITE B, YUMA, AZ 85364-6478
(928) 726-4081
(928) 726-4127
Mailing address
2180 S 4TH AVE, YUMA, AZ 85364-6478
(928) 726-4081
(928) 726-4127
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3333
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0325628
NCPDP
—
Enumeration date
02/01/2007
Last updated
07/21/2015
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