National Provider Identifier Database

ELK RIDGE GRAND CANYON PHARMACY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

ELK RIDGE GRAND CANYON PHARMACY
1 CLINIC RD
GRAND CANYON VILLAGE, AZ86023-0290
Phone: 520-670-3909
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for ELK RIDGE GRAND CANYON PHARMACY

NPI Number 1497602155
Legal business name
LBN
ELK RIDGE GRAND CANYON PHARMACY
Authorized official MELVA GONZALEZ - (PHARMACY COOORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 03/12/2026
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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