Healthcare Provider Details
I. General information
NPI: 1649189242
Provider Name (Legal Business Name): MARIPHIL PACULBA GREGORY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12281 E HILLCREST CIR
TUCSON AZ
85747-9553
US
IV. Provider business mailing address
12281 E HILLCREST CIR
TUCSON AZ
85747-9553
US
V. Phone/Fax
- Phone: 520-732-1137
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | S027937 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: