Northern Arizona Pharmacy
Long Term Care Pharmacy
12075 E State Route 69 Ste E, Dewey
Arizona, 86327-4569
928-515-0455 928-515-0456
Northern Arizona Pharmacy is a Long Term Care Pharmacy in Dewey, Arizona. It is located at 12075 E State Route 69 Ste E, Dewey and it's customer support contact number is 928-515-0455. The authorized person of Northern Arizona Pharmacy is Jason James Dykstra, PHARMD who is Manager of the pharmacy and his contact number is 928-515-0046.
Northern Arizona Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Northern Arizona Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Northern Arizona Pharmacy |
| Type: | Long Term Care Pharmacy |
| Location: | 12075 E State Route 69 Ste E, Dewey,
Arizona, 86327-4569 |
| Phone: | 928-515-0455 |
| Fax: | 928-515-0456 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jason James Dykstra |
| Credentials: | PHARMD |
| Position: | Manager |
| Contact Number: | 928-515-0046 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1932830205 |
| NPI Enumeration Date: | 18 Jun, 2022 |
| NPI Last Update On: | 18 Jun, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northern Arizona Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 003672 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1932 N State Route 89,
Chino Valley, Arizona |
| Zip: | 86323-5643 |
| Phone Number: | 928-515-0046 |
| Fax Number: | 928-515-0047 |
Patients can reach Northern Arizona Pharmacy at
12075 E State Route 69 Ste E, Dewey, Arizona or can
call on customer care at 928-515-0455.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.