Healthcare Provider Details

I. General information

NPI: 1215820253
Provider Name (Legal Business Name): MARANA HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5224 W DOVE CENTRE RD
MARANA AZ
85658-5063
US

IV. Provider business mailing address

PO BOX 188
MARANA AZ
85653-0188
US

V. Phone/Fax

Practice location:
  • Phone: 520-682-1095
  • Fax: 520-682-2196
Mailing address:
  • Phone: 520-682-1095
  • Fax: 520-682-2196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA B CARZOLI
Title or Position: CEO
Credential: PHARMD
Phone: 520-682-4111