Individual
DR. MORGANE C. DIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCOP
Contact information
Practice address
3838 N CAMPBELL AVE, TUCSON, AZ 85719-1478
(520) 694-0398
Mailing address
3838 N CAMPBELL AVE, TUCSON, AZ 85719-1478
(520) 694-0398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016693
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S016693
PHARMACY LICENSE
AZ
Enumeration date
08/12/2008
Last updated
04/13/2012
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