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

Dwaynie Bacon Jr.

Individual provider Pharmacist · NPI 1366239980

Dwaynie Bacon Jr. is a Pharmacist in Bullhead City, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

2410 Highway 95
Bullhead City, AZ 86442-7305
Phone: (928) 219-4700
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S026811 (AZ)

Record details

NPI number1366239980
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

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