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Elk Ridge Grand Canyon Pharmacy — NPI 1497602155, Grand Canyon, AZ | NPI Central

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NPI 1497602155

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Elk Ridge Grand Canyon Pharmacy

NPI 1497602155 · Clinic Pharmacy · Grand Canyon, AZ

Provider details

NPI number: 1497602155
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: Melva Gonzalez, Pharmacy Cooordinator(520) 670-3813

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002X
Suppliers

Practice location

1 Clinic Rd

Grand Canyon, AZ 86023-0290

Phone: (520) 670-3909

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

1 Clinic Rd

Grand Canyon, AZ 86023-0290

Registry dates

Enumerated: 2026-03-12
Last updated: 2026-05-26
Certified: 2026-05-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.