Organization
DIVERSIFIED PHARMACY SOLUTIONS LLC
Active
Other names
Vistoso Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL RHOADS (OWNER)
(520) 271-7413
Entity
Organization
Contact information
Practice address
1171 E RANCHO VISTOSO BLVD, SUITE 161, ORO VALLEY, AZ 85755-9107
(520) 818-2883
Mailing address
63717 E SADDLEBROOKE BLVD # 1, TUCSON, AZ 85739-1258
(520) 818-2883
(520) 818-1833
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005462
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0357346
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/09/2012
Last updated
12/05/2012
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