Organization · Type 2 NPI

N & R Bryce Enterprises LLC

Community/Retail Pharmacy · Overgaard, AZ

NPI number 1417513904 Active

Practice location

2841 Highway 260 Suite 2
Overgaard, AZ 85933

Call (928) 537-8555 Map

Fax (928) 537-9555

Mailing address

PO Box 1569
Show Low, AZ 85902-1569

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

NPI record

NPI: 1417513904
Entity type: Organization (Type 2)
Issued: May 10, 2019
Last updated: May 10, 2019
Status: Active
Subpart: Yes of N & R Bryce Enterprises LLC

Other names

White Mountain Pharmacy 2 · doing business as

Authorized official

Nickalaus David Bryce, PharmD
Managing Member
(928) 537-8555

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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 1417513904

N & R Bryce Enterprises LLC's National Provider Identifier is 1417513904, issued on May 10, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Overgaard, AZ. The record was last updated on May 10, 2019.