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Organization

PORTABLE MEDICAL PHARMACY- ARIZONA

Active
Other names
Spectrum Pharmacy of Arizona
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBBIE D WILLIAMS (DIRECTOR OF CORPORATE SERVICES)
(702) 939-6559
Entity
Organization

Contact information

Practice address
6150 E GRANT RD, TUCSON, AZ 85712-5801
(520) 296-0317
Mailing address
6150 E GRANT RD, TUCSON, AZ 85712-5801
(520) 296-0317

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4292
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
579055
AZ
Enumeration date
11/17/2005
Last updated
08/22/2020
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