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Victor Provencio, RPH
Pharmacist in Casa Grande, Arizona
NPI 1679649958

Victor Provencio is a Pharmacist based in Casa Grande, AZ. Victor Provencio practices in Casa Grande, AZ and has the professional credentials of RPH. The NPI Number for Victor Provencio is 1679649958 and holds a License No. 6049 (Arizona).

The current practice location address for Victor Provencio is 865 N Arizola Rd, Casa Grande, AZ and can be reached out via phone at 520-836-3446 and via fax at 520-836-8807.

Location: 865 N Arizola Rd, Casa Grande, AZ, 85130-0020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679649958
Provider Name
Victor Provencio
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
865 N Arizola Rd, Casa Grande, AZ, 85130-0020
Phone Number
520-836-3446
Fax Number
520-836-8807
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6049 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
865 N Arizola Rd
City
Casa Grande
State
Arizona
Zip
85122-6011
Phone Number
520-836-3446
Fax Number
520-836-8807
person
Provider Business Mailing Address Details
Address
865 N Arizola Rd
City
Casa Grande
State
Arizona
Zip
85122-6011
Phone Number
520-836-3446
Fax Number
520-836-8807
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
6049 (Arizona)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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