WEST KINGMAN PHARMACY, LLC
Suppliers at Western Ave, Kingman, AZ

License number
Arizona 4696
Category
Suppliers
Type
Clinic Pharmacy
Owner
Name: MRS. LINDA M. OWENS
Title: ADMINISTRATOR
Phone: (928) 718-4852
Address
Address
3505 Western Ave, Kingman, AZ 86409
National Provider ID: 1245357706
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WEST KINGMAN PHARMACY, LLC

Kingman, AZ

Industry:
Management Consulting Services
Registration:
Dec 13, 2006
Phone:
(928) 718-0718 (Phone)
Addresses:
3505 Western Ave, Kingman, AZ 86401 (Physical)
3131 Western Ave, Kingman, AZ 86401
State ID:
L-1328312-3
Expiration:
PERPETUAL
Director Of Pharmacys:
Magnum Development Co (Manager), 3131 Western Ave, Kingman, AZ 86401 (Physical),Julian F Weltsch Trust (Member), 4720 W Maverick Ln, Lakeside, AZ 85929 (Physical),Lingenfelter Fam Trust (Member), Diana R Lingenfelter (Trustee) 1080 Riata Vly Rd, Kingman, AZ 86401 (Physical),...
Agent:
Patrick H Nugent Jr,3131 Western Ave, Kingman, AZ 86401 (Physical)

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