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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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