State Of Arizona in Tucson - Clinic Pharmacy

State Of Arizona - NPI 1396845343

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 1396845343. The last update date is 2015-06-16.

State Of Arizona's current location address is 1224 E Lowell St, Tucson, Arizona. You can contact this provider via phone number 5206216516 and fax number 5206268628. The mailing address for State Of Arizona is 1224 E Lowell St, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Arizona
Address 1224 E Lowell St, Tucson, Arizona
Phone Number 5206216516
Fax Number 5206268628
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF PHAR
Authorized Official Name Birmingham Kim
Credentials RPH
Telephone Number 5206216516

NPI Number Detail

NPI Number 1396845343
Provider Enumeration Date 2006-09-22
Last Updated Date 2015-06-16

Provider Mailing Address Detail

Address 1224 E Lowell St
City Tucson
State Arizona (AZ)
Post Code 857210095
Phone Number 5206216516
Fax Number 5206268628

Provider's Primary Taxonomy Detail

Speciality Clinic Pharmacy
Taxonomy 3336C0002X
Licence No 501
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
322379 NCPDP PROVIDER IDENTIFICATION

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FAQs about State Of Arizona

What is the unique 10-digit identification code assigned to State Of Arizona by the Centers for Medicare & Medicaid Services?

The State Of Arizona has been issued the NPI (National Provider Identifier) 1396845343, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where State Of Arizona is physically located?

The State Of Arizona is physically situated at the following address: 1224 E Lowell St, Tucson, AZ, 857210095.

What is the State Of Arizona's area of specialization and corresponding taxonomy classification?

The State Of Arizona's specialty field is Clinic Pharmacy, and it falls under the taxonomy code 3336C0002X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396845343 to State Of Arizona?

The Centers for Medicare & Medicaid Services originally issued the 1396845343 to State Of Arizona on 2006-09-22.

When was the State Of Arizona's information last updated?

The State Of Arizona's information was last updated on 2015-06-16.

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