Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWAYNIE BACON JR.
Active Sole ProprietorDWAYNIE BACON JR. is a Pharmacist healthcare provider located in BULLHEAD CITY, Arizona. NPI 1366239980 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BULLHEAD CITY, AZ
Registration Details
- NPI Number
- 1366239980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2025 (1.309939480467 yrs)
- Last Updated
- Apr 24, 2025
- License
-
S026811 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2410 HIGHWAY 95BULLHEAD CITY, AZ, 864427305Browse AZ providers · Browse ZIP 86442
- Phone
- 9282194700
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BULLHEAD CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| GAYLE EILEEN CHANCE | PHARM D | 1255493656 |
| MR. WILLIAM DAVID TARLOFF | RPH | 1467507954 |
| SATHISH ARIARRACARIAPPA | — | 1295066090 |
| MR. VENKATA SATYA BHUPATHIRAJU | — | 1073845137 |
| MR. NORBERT CARL LASKOWSKI | R PH | 1861714248 |
| CALEB HOLYOAK | PHARM D | 1881912855 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.