Organization
MARANA HEALTH CENTER INC
Active
Organization
MARANA HEALTH CENTER INC
Active
Other names
Wilmot Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA B CARZOLI PHARMD (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
899 N WILMOT RD STE B, TUCSON, AZ 85711-1712
(520) 616-1572
(520) 616-1573
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-1572
(520) 616-1573
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
OTC5399
AZ
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329592
GROUP MEDICAID
AZ
05
—
714455
—
AZ
Enumeration date
04/18/2012
Last updated
02/03/2025
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