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NPI Code Detail

MEDICARE: BANNER -- UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC

MEDICARE: BANNER -- UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC
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
13336I0012XInstitutional PharmacyH-0134AZ
2332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10366400001OTHERAZDME RETAIL PHARMACY

General Provider Information

NPI Number : 1306908355
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANNER -- UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALISON FLYNN GAFFNEY
Credential :
Telephone Number : 602-747-4000
Provider Enumeration Date : 12/15/2006
Last Update Date : 04/15/2026

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Directions to “BANNER -- UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC ” Practice Location

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