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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