Organization
STATE OF ARIZONA
Active
Organization
STATE OF ARIZONA
Active
Other names
CAMPUS HEALTH SERVICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BIRMINGHAM RPH (CHIEF PHARMACIST)
(520) 621-6516
Entity
Organization
Contact information
Practice address
1224 E LOWELL ST, TUCSON, AZ 85721-0095
(520) 621-6516
(520) 626-8628
Mailing address
1224 E LOWELL ST, TUCSON, AZ 85721-0095
(520) 621-6516
(520) 626-8628
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
000501
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0322379
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/22/2006
Last updated
06/16/2015
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