Organization · Type 2 NPI

Panacea Brain and Spine, LLC

Non-Pharmacy Dispensing Site · Lake Havasu City, AZ

NPI number 1154765121 Active

Practice location

297 Lake Havasu Ave S, Suite 204
Lake Havasu City, AZ 86403-6526

Call (928) 453-2211 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7 other providers at this address

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About NPI 1154765121

Panacea Brain and Spine, LLC's National Provider Identifier is 1154765121, issued on Apr 22, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Apr 22, 2013.