Individual provider · Type 1 NPI

Dwaynie Bacon Jr.

Pharmacist · Bullhead City, AZ

NPI number 1366239980 Active

Practice location

2410 Highway 95
Bullhead City, AZ 86442-7305

Call (928) 219-4700 Map

Mailing address

2328 Ryan Way
Bullhead City, AZ 86442-8699

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	S026811 (AZ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

2 other providers at this address

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About NPI 1366239980

Dwaynie Bacon Jr.'s National Provider Identifier is 1366239980, issued on Apr 24, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bullhead City, AZ. The record was last updated on Apr 24, 2025.