Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EZEKIEL KEERENG KESITILWE, PHARMD
Active Sole ProprietorDR. EZEKIEL KEERENG KESITILWE, PHARMD is a Pharmacy healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1871001248 is currently active in the NPPES registry. Verify at CMS.
Pharmacy · LAKE HAVASU CITY, AZ
Registration Details
- NPI Number
- 1871001248
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2018 (8.5648440413779 yrs)
- Last Updated
- Jan 18, 2018
- License
-
S013695 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1980 MCCULLOCH BLVD NLAKE HAVASU CITY, AZ, 864030969Browse AZ providers · Browse ZIP 86403
- Phone
- 9288548281
- Fax
- 9284533969
- Primary Specialty
-
Pharmacy
333600000X
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.