institution
State Of Arizona
Clinic Pharmacy in Tucson, Arizona
NPI 1396845343

State Of Arizona is a Clinic Pharmacy based in Tucson, AZ and is specialized in Clinic Pharmacy. State Of Arizona practices in Tucson, AZ. The NPI Number for State Of Arizona is 1396845343 and holds a License No. 000501 (Arizona).

The current practice location address for State Of Arizona is 1224 E Lowell St, Tucson, AZ and can be reached out via phone at 520-621-6516 and via fax at 520-626-8628.

Location: 1224 E Lowell St, Tucson, AZ, 85721-0095
institution
Provider Profile Details
NPI Number
1396845343
Provider Name
State Of Arizona
Credential
Provider Entity Type
Organization
Address
1224 E Lowell St, Tucson, AZ, 85721-0095
Phone Number
520-621-6516
Fax Number
520-626-8628
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0322379 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1224 E Lowell St
City
State
Zip
85721-0095
Phone Number
520-621-6516
Fax Number
520-626-8628
person
Provider Business Mailing Address Details
Address
1224 E Lowell St
City
State
Zip
85721-0095
Phone Number
520-621-6516
Fax Number
520-626-8628
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
000501 (Arizona)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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