Healthcare Provider Details

I. General information

NPI: 1730036070
Provider Name (Legal Business Name): ALEXXA JAZMINE LIZARRAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9184 E VALENCIA RD
TUCSON AZ
85747-4902
US

IV. Provider business mailing address

7311 E ELI DR
TUCSON AZ
85710-4912
US

V. Phone/Fax

Practice location:
  • Phone: 520-574-8328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027826
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: