Organization
KING TUT PHARMACY LLC
Active
Other names
King Tut Pharmacy, King Tut Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KARIEM ISMAIL (OWNER/PIC/AO)
(520) 220-1281
Entity
Organization
Contact information
Practice address
90 E 3RD ST, SUITE B, DOUGLAS, AZ 85607-3154
(520) 364-6304
(520) 634-1157
Mailing address
90 E 3RD ST, SUITE B, DOUGLAS, AZ 85607-3154
(520) 364-6304
(520) 634-1157
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176895
PK
—
Enumeration date
04/06/2018
Last updated
10/06/2025
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