Canyonlands Community Health Care
Organization Active NPI Community/Retail Pharmacy · Page, AZ
NPI 1689021933 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1689021933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- Y006821 (AZ)
- Legal business name
- CANYONLANDS COMMUNITY HEALTH CARE
- Practice address
- 467 Vista Avenue
Page, AZ 86040 - Phone
- (928) 645-6620
- Fax
- (928) 645-6621
- NPI assigned
- May 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Andrew Lewandowski, PHARMD
- Title
- Director of Pharmacy, Pic, Ao
- Phone
- (928) 645-6620
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Lake Powell Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Y006821 | AZ | Yes |
Addresses
Primary practice location
467 Vista Avenue
Page, AZ 86040
Mailing address
PO Box 1625
Page, AZ 86040-1625
Phone (928) 645-6620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160535 | Other | PK | |
| 174027 | Medicaid | AZ | |
| 1689021933 | Medicaid | UT |
Other names
- Canyonlands Community Healthcare
Other providers in Page, AZ
- Canyon View Medical Center,LTD
- Canyonlands Community Health Care
- Canyonlands Community Health Care
- Canyonlands Community Health Care
- Canyonlands Community Health Care
- Canyonlands Community Healthcare - BH
- Care for You, PC
- Ryan Matthew Carr
- Brent E Case
- Pamela Juliet Chambers
All providers in Page, AZ · Community/Retail Pharmacy in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.