OrganizationActive
State of Arizona
NPI 1730295684 · Clinic Pharmacy · Tucson, AZ
State of Arizona is a Clinic Pharmacy organization in Tucson, AZ (NPI 1730295684).
Provider details
- NPI number
- 1730295684
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Boesen, Dir Medication Mngmnt Cntr(520) 626-3981
- License
- 1700 (AZ)
Practice location
1295 N Martin
Tucson, AZ 85721-0001
Phone: (520) 626-3981
Fax: (520) 626-6026
Street-level locationGet directions
Mailing address
Po Box 210602
Tucson, AZ 85721-0001
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2012-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.