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Organization

UPTOWN PHARMACY OF KINGMAN , INC

Active
Other names
UPTOWN HOME MEDICAL, UPTOWN DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS HOWARD PROFFIT RPH (PHARMACISTIS, PRESIDENT)
(928) 753-2738
Entity
Organization

Contact information

Practice address
2820 E ANDY DEVINE AVE, KINGMAN, AZ 86401-4203
(928) 753-2738
(928) 753-2383
Mailing address
2820 E ANDY DEVINE AVE, KINGMAN, AZ 86401-4203
(928) 753-2738
(928) 753-2383

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
Y007029
AZ

Other

Enumeration date
02/02/2007
Last updated
03/21/2017
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