Individual
DESTINY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W IRVINGTON RD, TUCSON, AZ 85714-1167
(520) 434-6921
Mailing address
3278 W MONTANA ST, TUCSON, AZ 85746-1006
(520) 349-4376
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S026391
AZ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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