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NPI Code Detail

MEDICARE: BRIAN ERSTAD PHARMD

MEDICARE: BRIAN ERSTAD PHARMD
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
11835C0205XCritical Care PharmacistS007594AZ

General Provider Information

NPI Number : 1396689410
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN ERSTAD PHARMD
Provider Business Mailing Address
First Line : 2080 E MIRAVAL QUINTO
Second Line :
City : TUCSON
State : AZ
Zip : 85718-3006
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ BRIAN ERSTAD PHARMD” Practice Location

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