Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elk Ridge Grand Canyon Pharmacy

Organization Clinic Pharmacy · NPI 1497602155

Elk Ridge Grand Canyon Pharmacy is a Clinic Pharmacy in Grand Canyon, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1 Clinic Rd
Grand Canyon, AZ 86023-0290
Phone: (520) 670-3909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X

Record details

NPI number1497602155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melva Gonzalez — Pharmacy Cooordinator · (520) 670-3813
NPI enumeratedMarch 12, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address1 Clinic Rd, Grand Canyon, AZ 86023-0290

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