Healthcare Provider Details

I. General information

NPI: 1972684652
Provider Name (Legal Business Name): LISA TONREY R.P.H
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 S J STOCK RD
TUCSON AZ
85746-7012
US

IV. Provider business mailing address

7900 S J STOCK RD
TUCSON AZ
85746-7012
US

V. Phone/Fax

Practice location:
  • Phone: 520-295-2503
  • Fax: 520-295-2676
Mailing address:
  • Phone: 520-295-2503
  • Fax: 520-295-2676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number7846
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: