Organization
UPTOWN PHARMACY OF KINGMAN , INC
Active
Organization
UPTOWN PHARMACY OF KINGMAN , INC
Active
Other names
UPTOWN DRUG NORTH
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HOWARD PROFFIT B. S. PHARMACY (OWNER)
(928) 757-1131
Entity
Organization
Contact information
Practice address
4495 N BANK ST, STE 1, KINGMAN, AZ 86409-2711
(928) 757-1131
(928) 757-1108
Mailing address
4495 N BANK ST, STE 1, KINGMAN, AZ 86409-2711
(928) 757-1131
(928) 757-1108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Y007032
AZ
3336C0003X
Community/Retail Pharmacy
Primary
Y007032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1988479
PK
—
05
—
235645
—
AZ
Enumeration date
08/10/2006
Last updated
03/21/2017
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