Individual provider · Type 1 NPI
Ezekiel Keereng Kesitilwe, PharmD
Pharmacy · Lake Havasu City, AZ
Practice location
1980 Mcculloch Blvd N
Lake Havasu City, AZ 86403-0969
Fax (928) 453-3969
Mailing address
2734 Paseo Verde
Lake Havasu City, AZ 86406-7748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Primary | 333600000X | S013695 (AZ) |
Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…
3 other providers at this address
About NPI 1871001248
Ezekiel Keereng Kesitilwe, PharmD's National Provider Identifier is 1871001248, issued on Jan 18, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Jan 18, 2018.