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Havasu Health Care Pharm
Managed Care Organization Pharmacy in Lake Havasu City, Arizona
NPI 1255591418

Havasu Health Care Pharm is a Managed Care Organization Pharmacy based in Lake Havasu City, AZ and is specialized in Managed Care Organization Pharmacy. Havasu Health Care Pharm practices in Lake Havasu City, AZ. The NPI Number for Havasu Health Care Pharm is 1255591418 and holds a License No. Y0004984 (Arizona).

The current practice location address for Havasu Health Care Pharm is 3560 Challenger Dr, Lake Havasu City, AZ and can be reached out via phone at 928-855-9888 and via fax at 928-855-9888.

Location: 3560 Challenger Dr, Lake Havasu City, AZ, 86406-9152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255591418
Provider Name
Havasu Health Care Pharm
Credential
Provider Entity Type
Organization
Address
3560 Challenger Dr, Lake Havasu City, AZ, 86406-9152
Phone Number
928-855-9888
Fax Number
928-855-9888
Provider Enumeration Date
06/11/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0355366 01 OTHER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
3560 Challenger Dr
City
Lake Havasu City
State
Arizona
Zip
86406-9152
Phone Number
928-855-9888
Fax Number
928-855-9888
person
Provider Business Mailing Address Details
Address
3560 Challenger Dr
City
Lake Havasu City
State
Arizona
Zip
86406-9152
Phone Number
928-855-9888
Fax Number
928-855-9888
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
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Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
Y0004984 (Arizona)
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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