Healthcare Provider Details

I. General information

NPI: 1982933008
Provider Name (Legal Business Name): US DEPT OF JUSTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2009
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 S WILMOT RD
TUCSON AZ
85756-9706
US

IV. Provider business mailing address

9300 S WILMOT RD
TUCSON AZ
85756-9706
US

V. Phone/Fax

Practice location:
  • Phone: 520-663-5000
  • Fax: 520-663-5146
Mailing address:
  • Phone: 520-663-5000
  • Fax: 520-663-5146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAWN CAMPBELL
Title or Position: CHIEF PHARMACIST
Credential:
Phone: 520-663-5000