Healthcare Provider Details

I. General information

NPI: 1497895155
Provider Name (Legal Business Name): LINDA K FRISK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 E RIVER RD 350
TUCSON AZ
85718-5877
US

IV. Provider business mailing address

3330 N 2ND ST 207
PHOENIX AZ
85012-2368
US

V. Phone/Fax

Practice location:
  • Phone: 520-519-7700
  • Fax: 520-519-5175
Mailing address:
  • Phone: 602-277-4868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13631
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: