STATE OF ARIZONA NPI 1396845343

NPI Information

  • NPI: 1396845343
  • Provider Name: STATE OF ARIZONA
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: CAMPUS HEALTH SERVICE PHARMACY
  • CLIA Number: 03D0057856
  • Address: 1224 E LOWELL ST
    TUCSON, AZ
    ZIP 85721
  • Phone: (520) 621-6516

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NPI Details

STATE OF ARIZONA 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. STATE OF ARIZONA NPI is 1396845343. The provider is registered as an organization entity type.
The provider Is Doing Business As Campus Health Service Pharmacy.

The provider's business location address is:

1224 E LOWELL ST
TUCSON, AZ
ZIP 85721-095
Phone: (520) 621-6516
Fax: (520) 626-8628

The provider's authorized official is Kim Birmingham .
The authorized official title is Chief Pharmacist and has the following contact phone number (520) 621-6516.

The CLIA number assigned to this NPI record is 03D0057856 - school/student health service with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 6/16/2015.

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
13336C0002XPharmacyClinic Pharmacy000501ARIZONAYes

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
10322379OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 3/30/2025

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