Healthcare Provider Details

I. General information

NPI: 1902120702
Provider Name (Legal Business Name): ANEDINA DUARTE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2010
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 E IRVINGTON RD
TUCSON AZ
85714-1847
US

IV. Provider business mailing address

2001 E IRVINGTON RD
TUCSON AZ
85714-1847
US

V. Phone/Fax

Practice location:
  • Phone: 520-294-7165
  • Fax: 520-294-8625
Mailing address:
  • Phone: 520-648-7701
  • Fax: 520-648-7703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13363
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: