KINGMAN HOMETOWN PHARMACY LLC
Pharmacy at Northern Ave, Kingman, AZ

License number
Arizona 4304
Category
Suppliers
Type
Pharmacy
Owner
Name: JENNIFER VELEZ
Title: MGR
Phone: (928) 681-4888
Address
Address
2370 Northern Ave STE A, Kingman, AZ 86409
National Provider ID: 1912918590
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KINGMAN HOMETOWN PHARMACY LLC at bizstanding.com

KINGMAN HOMETOWN PHARMACY, LLC

2370 Northern Ave, Kingman, AZ 86401

Registration:
Sep 13, 2005
State ID:
L-1228927-0
Expiration:
PERPETUAL
Members:
Fernando E Velez (Member), 2003 Roy Rogers, Kingman, AZ 86401 (Physical),Jennifer R Velez (Member), 2003 Roy Rogers, Kingman, AZ 86401 (Physical)
Agent:
Burton E Carter,2302 Stockton Hl Rd STE B, Kingman, AZ 86401 (Physical)

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