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Search › Arizona › 333600000X

Ezekiel Kesitilwe, PHARMD

NPI 1871001248 · on the registry since 2018 · sole proprietor

Practice

Address
1980 Mcculloch Blvd N
Lake Havasu City, AZ 86403
Phone
(928) 854-8281
Fax
(928) 453-3969
Organisation at this address
Albertsons Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
333600000X
333600000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona