Healthcare Provider Details

I. General information

NPI: 1174824288
Provider Name (Legal Business Name): ROBERT RIMSZA RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9595 E BROADWAY BLVD
TUCSON AZ
85748-3210
US

IV. Provider business mailing address

9595 E BROADWAY BLVD
TUCSON AZ
85748-3210
US

V. Phone/Fax

Practice location:
  • Phone: 520-751-7549
  • Fax: 520-733-3796
Mailing address:
  • Phone: 520-751-7549
  • Fax: 520-733-3796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS008362
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: