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Dr. Ezekiel Keereng Kesitilwe, PHARMD
Pharmacy in Lake Havasu City, Arizona
NPI 1871001248

Ezekiel Keereng Kesitilwe is a Pharmacy based in Lake Havasu City, AZ. Ezekiel Keereng Kesitilwe practices in Lake Havasu City, AZ and has the professional credentials of PHARMD. The NPI Number for Ezekiel Keereng Kesitilwe is 1871001248 and holds a License No. S013695 (Arizona).

The current practice location address for Ezekiel Keereng Kesitilwe is 1980 Mcculloch Blvd N, Lake Havasu City, AZ and can be reached out via phone at 928-854-8281 and via fax at 928-453-3969. You can also correspond with Ezekiel Keereng Kesitilwe through the mailing address at 2734 PASEO VERDE, LAKE HAVASU CITY, AZ - 86406-7748 (mailing address contact number: 928-230-9812).

Location: 1980 Mcculloch Blvd N, Lake Havasu City, AZ, 86406-7748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871001248
Provider Name
Ezekiel Keereng Kesitilwe
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1980 Mcculloch Blvd N, Lake Havasu City, AZ, 86406-7748
Phone Number
928-854-8281
Fax Number
928-453-3969
Provider Enumeration Date
01/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1980 Mcculloch Blvd N
City
Lake Havasu City
State
Arizona
Zip
86403-0969
Phone Number
928-854-8281
Fax Number
928-453-3969
person
Provider Business Mailing Address Details
Address
1980 Mcculloch Blvd N
City
Lake Havasu City
State
Arizona
Zip
86403-0969
Phone Number
928-854-8281
Fax Number
928-453-3969
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
S013695 (Arizona)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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