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NPI Code Detail

MEDICARE: DR. MARISA LYNN ROWEN PHARM.D.

MEDICARE: DR. MARISA LYNN ROWEN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6207NM
21835P1200XPharmacotherapy Pharmacist12556AZ
31835P2201XAmbulatory Care Pharmacist12556AZ

General Provider Information

NPI Number : 1154324150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARISA LYNN ROWEN PHARM.D.
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/28/2025

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