Organization
LOBOS ACQUISITION OF ARIZONA, INC.
Active
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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