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Contact Information

MOJAVE MEDICATION MANAGEMENT PLLC
2328 RYAN WAY
BULLHEAD CITY, AZ86442-8699
 Phone: 928-296-0238
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MOJAVE MEDICATION MANAGEMENT PLLC

NPI # 1922990290
LBN Legal business name MOJAVE MEDICATION MANAGEMENT PLLC
Authorized official DWAYNIE BACON - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2025
Last updated 07/19/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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