Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE CARRICO (RPH)
(520) 622-4853
Entity
Organization
Contact information
Practice address
865 E GRANT RD, TUCSON, AZ 85719-2933
(520) 622-4853
Mailing address
3514 E CALLE DEL PRADO, TUCSON, AZ 85716-5021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021266
AZ
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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