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NPI Code Detail

MEDICARE: CHRISTINA MARIA CARRILLO PHARMD

MEDICARE: CHRISTINA MARIA CARRILLO 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistS027109AZ

General Provider Information

NPI Number : 1437983830
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIA CARRILLO PHARMD
Provider Business Mailing Address
First Line : 555 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-5770
Country : US
Telephone Number : 520-628-9428
Fax Number : 520-624-2309
Provider Business Practice Location Address
First Line : 555 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-5770
Country : US
Telephone Number : 520-628-9428
Fax Number : 520-624-2309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 06/15/2026

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