Individual
KEVIN JAY CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
2616 SARANDI GRANDE DR, HACIENDA HEIGHTS, CA 91745-4836
(626) 378-8223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69434
CA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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