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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