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State of Arizona — NPI 1730295684, Tucson, AZ | NPI Central

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NPI 1730295684

OrganizationActive

State of Arizona

NPI 1730295684 · Clinic Pharmacy · Tucson, AZ

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)

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002XLicense 1700 (AZ)
Suppliers

Practice location

1295 N Martin

Tucson, AZ 85721-0001

Phone: (520) 626-3981

Fax: (520) 626-6026

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

Po Box 210602

Tucson, AZ 85721-0001

Other names (DBA / former)

Doing business as: U of College of Phcy

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.