Organization · Type 2 NPI
Liska's Apothecary Shop, Inc.
Assisted Living Facility · Lake Havasu City, AZ
NPI number
1104479039
Active
Practice location
1840 Mesquite Ave., Ste. E
Lake Havasu City, AZ 86403
Fax (928) 855-7653
Mailing address
1840 Mesquite Ave Ste E
Lake Havasu City, AZ 86403-5771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1104479039
Liska's Apothecary Shop, Inc.'s National Provider Identifier is 1104479039, issued on Jul 19, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on May 21, 2026.