Organization
EL RIO SANTA CRUZ NEIGHBORHOOD
Active
Organization
EL RIO SANTA CRUZ NEIGHBORHOOD
Active
Other names
EL RIO EL PUEBLO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON G KUNTZ (CEO)
(520) 601-0607
Entity
Organization
Contact information
Practice address
101 W IRVINGTON RD BLDG 10, TUCSON, AZ 85714-3050
(520) 309-4585
(520) 309-4589
Mailing address
PO BOX 1231, TUCSON, AZ 85702-1231
(520) 670-3813
(520) 670-7560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
Y005308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126882
PK
—
Enumeration date
09/27/2010
Last updated
04/24/2025
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