Organization
KINGMAN HEALTHCARE, INC
Active
Parent organization
KINGMAN HEALTHCARE, INC
Other names
KRMC Community Pharmacy, Kingman Hospital, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINGMAN HEALTHCARE, INC
Authorized official
MR. TIM BLANCHARD (CFO)
(928) 681-8668
Entity
Organization
Contact information
Practice address
1739 E BEVERLY AVE STE 106, KINGMAN, AZ 86409-3593
(928) 681-8778
(928) 681-8779
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Y007642
AZ
3336C0002X
Clinic Pharmacy
Y007642
AZ
3336C0003X
Community/Retail Pharmacy
Primary
Y007642
AZ
Other
Enumeration date
08/24/2018
Last updated
07/02/2020
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