Healthcare Provider Details

I. General information

NPI: 1104741651
Provider Name (Legal Business Name): CALEIGH MORGAN CAVERLY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

5310 E GRANT RD
TUCSON AZ
85712-2806
US

IV. Provider business mailing address

21687 E GOVERNOR DR
RED ROCK AZ
85145-6087
US

V. Phone/Fax

Practice location:
  • Phone: 520-324-1890
  • Fax: 520-324-7228
Mailing address:
  • Phone: 520-324-7572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberT083690
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: