Organization
MARANA HEALTH CENTER INC
Active
Other names
CLINICA DEL ALMA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA B CARZOLI PHARMD (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
3690 S PARK AVE STE 805, TUCSON, AZ 85713-5042
(520) 616-6778
(520) 882-0697
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-6778
(520) 882-0697
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Y004885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329592
GROUP MEDICAID
AZ
05
—
369853
—
AZ
Enumeration date
07/02/2008
Last updated
02/03/2025
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