Healthcare Provider Details

I. General information

NPI: 1528252855
Provider Name (Legal Business Name): MICHELLE R. NEMETZ PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 E 22ND ST
TUCSON AZ
85711-5335
US

IV. Provider business mailing address

4150 E 22ND ST
TUCSON AZ
85711-5335
US

V. Phone/Fax

Practice location:
  • Phone: 520-571-2080
  • Fax:
Mailing address:
  • Phone: 520-571-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number12298
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: