Organization
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-2491
(520) 694-2564
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
Y006243
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150865
PK
—
Enumeration date
05/10/2006
Last updated
12/23/2021
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