Organization
LOBOS ACQUISITION OF ARIZONA, INC.
Active
Other names
Danny's Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REGIS ROBINSON (SECRETARY)
(410) 347-9281
Entity
Organization
Contact information
Practice address
5395 E ERICKSON DR, SUITE 101, TUCSON, AZ 85712-2826
(520) 795-4271
(520) 795-8979
Mailing address
100 E RIVERCENTER BLVD, SUITE 1600, COVINGTON, KY 41011-1555
(520) 795-8979
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3852
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0305549
NCPDP
—
05
—
821612
—
AZ
Enumeration date
09/22/2006
Last updated
08/22/2020
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