NPI 1184041154

Cvs

Organisation Community/Retail Pharmacy Prescott, AZ

Practice location

Address: 506 Miller Valley Rd, Prescott, AZ 86301-2314
Phone: (928) 442-0312
Fax: (928) 442-0321

Authorised official

Name: Angela Rosa Flores Gonzalez
Title: Pharmacist
Phone: (928) 442-0312

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence S012175 (AZ)

Other Pharmacy providers in Arizona →

Registry record

NPI: 1184041154
Entity type: Organization
NPI issued: 27 Mar 2014
Record last updated: 27 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.