MARANA HEALTH CENTER INC NPI 1154584977

NPI Information

NPI: 1154584977
Provider Name: MARANA HEALTH CENTER INC

Doing Business As: CLINICA DEL ALMA PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
3690 S PARK AVE STE 805
TUCSON, AZ
ZIP 85713
Phone: (520) 616-6778
Get Directions

MARANA HEALTH CENTER INC is a clinic pharmacy pharmacy in Tucson, AZ. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MARANA HEALTH CENTER INC NPI is 1154584977. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinica Del Alma Pharmacy.

The provider's business location address is:

3690 S PARK AVE STE 805
TUCSON, AZ
ZIP 85713-042
Phone: (520) 616-6778
Fax: (520) 882-0697

The provider's authorized official is Clinton G Kuntz .
The authorized official title is Ceo and has the following contact phone number (520) 682-4111.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 10/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy				No
2	3336C0002X	Pharmacy	Clinic Pharmacy			Yes
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	Y004885	ARIZONA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	369853	MEDICAID	ARIZONA
2	329592	OTHER	ARIZONA	GROUP MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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