Organization
ECKERT DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MICHAEL ECKERT (PRESIDENT)
(928) 342-2388
Entity
Organization
Contact information
Practice address
11509 S FORTUNA RD, YUMA, AZ 85367-7857
(928) 342-2388
(928) 342-2389
Mailing address
11509 S FORTUNA RD, YUMA, AZ 85367-7857
(928) 342-2388
(928) 342-2389
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312897
NABP
—
Enumeration date
09/27/2006
Last updated
08/22/2020
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