STATE OF ARIZONA NPI 1396845343

NPI Information

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:

Other Identifiers

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

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