Organization · Type 2 NPI

Liska's Apothecary Shop, Inc.

Community/Retail Pharmacy · Lake Havasu City, AZ

NPI number 1164511481 Active

Practice location

1840 Mesquite Ave, Suite E.
Lake Havasu City, AZ 86403-5771

Fax (928) 855-7653

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory	291U00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	1325 (AZ)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

13 other providers at this address

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NPI record

NPI: 1164511481
Entity type: Organization (Type 2)
Issued: Oct 12, 2006
Last updated: Oct 7, 2023
Status: Active

Other names

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Liska's Apothecary Shop · doing business as
Liska's Apothecary Shop · doing business as

Authorized official

Anthony Adrian Liska, PharmD
Pharmacist
(928) 855-0106

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164511481

Liska's Apothecary Shop, Inc.'s National Provider Identifier is 1164511481, issued on Oct 12, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Oct 7, 2023.