National Provider Identifier Database

CANYONLANDS COMMUNITY HEALTH CARE
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 health care providers, collaborative practice, disease state management, and education classes.


Contact Information

CANYONLANDS COMMUNITY HEALTH CARE
467 VISTA AVENUE
PAGE, AZ86040
Phone: 928-645-6620
Fax: 928-645-6621
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for CANYONLANDS COMMUNITY HEALTH CARE

NPI Number 1689021933
Legal business name
LBN
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official ANDREW LEWANDOWSKI - (DIRECTOR OF PHARMACY, PIC, AO)
Entity Organization
Organization subpart No
Enumeration date 05/17/2016
Last updated 09/23/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: Y006821
  • AZ Medicaid: 174027
  • UT Medicaid: 1689021933
  • Other: 2160535 PK

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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