NPI 1245357706

West Kingman Pharmacy, LLC

Organisation Long Term Care Pharmacy Kingman, AZ

Practice location

Address: 3135 N Stockton Hill Rd, Kingman, AZ 86401
Phone: (928) 377-1350
Mailing address: 1099 Sunrise Ave, Kingman, AZ 86401-6825

Authorised official

Name: Kassie Lynn Villa
Title: Pharmacy Manager
Phone: (928) 377-1350

Registered specialties (2)

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X

Other Pharmacy providers in Arizona →

Clinic Pharmacy

Suppliers Taxonomy 3336C0002X Licence 4696 (AZ)

Registry record

NPI: 1245357706
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 11 Mar 2020

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.