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Organization
ST MARYS MANAGED PRESCRIPTION PROGRAM
Active
Organization
ST MARYS MANAGED PRESCRIPTION PROGRAM
Active
Other names
Managed Prescription Program
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J WICKIS CPHT (OPERATIONS MANAGER)
(520) 297-3800
Entity
Organization
Contact information
Practice address
10860 N MAVINEE DR, ORO VALLEY, AZ 85737-9526
(520) 297-3800
(520) 297-3466
Mailing address
10860 N MAVINEE DR, ORO VALLEY, AZ 85737-9526
(520) 297-3800
(520) 297-3466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6870
AZ
Other
Enumeration date
04/17/2007
Last updated
01/24/2014
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