State Of Arizona in Tucson - Clinic Pharmacy
State Of Arizona - NPI 1730295684
State Of Arizona is a Clinic Pharmacy in Tucson, Arizona. State Of Arizona practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for State Of Arizona is 1730295684. The last update date is 2012-01-17.
State Of Arizona's current location address is Po Box 210602, Tucson, Arizona. You can contact this provider via phone number 5206263981 and fax number 5206266026. The mailing address for State Of Arizona is Po Box 210602, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Arizona |
|---|---|
| Address | Po Box 210602, Tucson, Arizona |
| Phone Number | 5206263981 |
| Fax Number | 5206266026 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR MEDICA |
|---|---|
| Authorized Official Name | Boesen Kevin |
| Telephone Number | 5206263981 |
NPI Number Detail
| NPI Number | 1730295684 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2012-01-17 |
Provider Mailing Address Detail
| Address | Po Box 210602 |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857210001 |
| Phone Number | 5206263981 |
| Fax Number | 5206266026 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 1700 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 314067 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Arizona by the Centers for Medicare & Medicaid Services?
The State Of Arizona has been assigned the NPI (National Provider Identifier) 1730295684. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where State Of Arizona's facilities are geographically located?
The facilities of State Of Arizona are physically situated at the following location: Po Box 210602, Tucson, AZ, 857210001.
What is the area of specialization for State Of Arizona, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Arizona is Clinic Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730295684 to State Of Arizona?
The Centers for Medicare & Medicaid Services assigned the 1730295684 to State Of Arizona on 2006-08-22.
When was the information pertaining to State Of Arizona most recently updated or revised?
The details related to State Of Arizona, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-17.