Healthcare Provider Details
I. General information
NPI: 1598638009
Provider Name (Legal Business Name): MARANA HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13395 N MARANA MAIN ST
MARANA AZ
85653-7008
US
IV. Provider business mailing address
13395 N MARANA MAIN ST
MARANA AZ
85653-7008
US
V. Phone/Fax
- Phone: 520-682-1095
- Fax: 520-682-2196
- Phone: 520-682-1095
- Fax: 520-682-2196
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
B
CARZOLI
Title or Position: CEO
Credential: PHARMD
Phone: 520-682-4111