Organization
DIVERSIFIED PHARMACY SOLUTIONS LLC
Active
Organization
DIVERSIFIED PHARMACY SOLUTIONS LLC
Active
Other names
wilmot pharmacy alc
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 STE 131, ORO VALLEY, AZ 85755-9101
(520) 818-2883
(520) 818-1833
Mailing address
63717 E SADDLEBROOKE BLVD # 1, TUCSON, AZ 85739-1258
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005470
AZ
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0357360
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/27/2012
Last updated
03/27/2012
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