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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