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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KYLE JORDAN LANHAM, PHARMD

Active Sole Proprietor

DR. KYLE JORDAN LANHAM, PHARMD is a Long-Term Care Pharmacy healthcare provider located in PRESCOTT, Arizona. NPI 1770255838 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · PRESCOTT, AZ

Registration Details

NPI Number
1770255838
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2021 (4.8884534744065 yrs)
Last Updated
Sep 28, 2021
License
S025465 (AZ)
Sole Proprietor
Yes

Practice Information

Address
901 WILLOW LAKE RD
PRESCOTT, AZ, 863014617
Browse AZ providers · Browse ZIP 86301
Phone
9287710278
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
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.