Healthcare Provider Details
I. General information
NPI: 1043996820
Provider Name (Legal Business Name): MARANA HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2023
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2945 W INA RD STE 115
TUCSON AZ
85741-2366
US
IV. Provider business mailing address
PO BOX 188
MARANA AZ
85653-0188
US
V. Phone/Fax
- Phone: 520-616-1535
- Fax: 520-616-1538
- Phone: 520-616-1535
- Fax: 520-616-1538
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
B
CARZOLI
Title or Position: CEO
Credential: PHARMD, MBA, BCACP
Phone: 520-682-4111