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HAVASU HEALTH CARE PHARM
NPI 1255591418
Pharmacy - Long Term Care Pharmacy in Lake Havasu City, AZ

Active since June 11, 2008
3560 CHALLENGER DR, STE 106, LAKE HAVASU CITY, AZ 86406(928) 855-9888(928) 855-9888 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Havasu Health Care Pharm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVASU HEALTH CARE PHARM (NPI 1255591418) is a healthcare organization registered as a long term care pharmacy in Lake Havasu City, Arizona and active in the NPI registry since June 2008. The organization lists Kelly Dahlberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1255591418
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameHAVASU HEALTH CARE PHARM
Location Address3560 CHALLENGER DR, STE 106Lake Havasu City, AZ 86406-9152
Mailing Address3560 Challenger Dr, Ste 106Lake Havasu City, AZ 86406-9152
Phone(928) 855-9888
Fax(928) 855-9888
Organization SubpartNo
Authorized OfficialKelly DahlbergOwner · (928) 855-9888
Enumeration DateJune 11, 2008
✔ NPI 1255591418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in AZ · Y0004984
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
3560 CHALLENGER DR, Lake Havasu City, AZ 86406
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Other Names 1

Doing Business AsHavasu Health Care Pharm

Other Identifiers 1

Other0355366Other Id Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havasu Health Care Pharm's NPI number?

The NPI number for Havasu Health Care Pharm is 1255591418. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Havasu Health Care Pharm located?

Havasu Health Care Pharm is located at 3560 Challenger Dr Ste 106, Lake Havasu City, AZ 86406. The listed phone number is (928) 855-9888.

What is Havasu Health Care Pharm's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Havasu Health Care Pharm was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.