Healthcare Provider Details

I. General information

NPI: 1073431417
Provider Name (Legal Business Name): RICHARD ROBERTSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RICK ROBERTSON PHARMD

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5755 S HOUGHTON RD
TUCSON AZ
85747-0236
US

IV. Provider business mailing address

2522 N INDIAN RUINS RD
TUCSON AZ
85715-3319
US

V. Phone/Fax

Practice location:
  • Phone: 520-420-3151
  • Fax: 520-324-7979
Mailing address:
  • Phone: 520-420-3151
  • Fax: 520-324-7979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS021924
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: