Healthcare Provider Details

I. General information

NPI: 1003132358
Provider Name (Legal Business Name): MARK ANDREW SIERRA SR. RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2010
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 E GOLF LINKS RD
TUCSON AZ
85730-1000
US

IV. Provider business mailing address

15994 CAMINO CASAL
SAHUARITA AZ
85629-7609
US

V. Phone/Fax

Practice location:
  • Phone: 520-745-2205
  • Fax: 520-750-9698
Mailing address:
  • Phone: 520-333-9353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number8908
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: