Provider Demographics
NPI:1508417189
Name:CALL'S COMMUNITY PHARMACY LLC
Entity Type:Organization
Organization Name:CALL'S COMMUNITY PHARMACY LLC
Other - Org Name:CALL'S COMMUNITY PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:928-457-1115
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:SNOWFLAKE
Mailing Address - State:AZ
Mailing Address - Zip Code:85937-0246
Mailing Address - Country:US
Mailing Address - Phone:928-457-1115
Mailing Address - Fax:
Practice Address - Street 1:985 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SNOWFLAKE
Practice Address - State:AZ
Practice Address - Zip Code:85937-5501
Practice Address - Country:US
Practice Address - Phone:928-457-1115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy