Healthcare Provider Details

I. General information

NPI: 1063406361
Provider Name (Legal Business Name): ANNA ELIZABETH PERRIN PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E AJO WAY
TUCSON AZ
85713-6204
US

IV. Provider business mailing address

16688 S SAGUARO VIEW LN # 331
VAIL AZ
85641-6551
US

V. Phone/Fax

Practice location:
  • Phone: 520-874-4903
  • Fax:
Mailing address:
  • Phone: 520-425-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number016532
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS016000
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: