Healthcare Provider Details

I. General information

NPI: 1255112736
Provider Name (Legal Business Name): ABIGAIL PURDY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 E PENNSYLVANIA ST
TUCSON AZ
85714-1675
US

IV. Provider business mailing address

1210 E PENNSYLVANIA ST
TUCSON AZ
85714-1675
US

V. Phone/Fax

Practice location:
  • Phone: 520-834-8794
  • Fax:
Mailing address:
  • Phone: 520-834-8794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS026696
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: