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General NPI Number Information
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NPI Number | 1093791873
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Entity Type | Organization
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Legal Business Name | EL RIO NORTHWEST PHARMACY
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 320 W PRINCE RD
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City | TUCSON
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State | AZ
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Zip | 85705-3526
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Country | US
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Telephone | 520-838-7660
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Fax | 520-838-7698
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Provider Business Mailing Address
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Address Line | PO BOX 1231
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City | TUCSON
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State | AZ
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Zip | 85702-1231
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Country | US
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Telephone | 520-670-3909
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Fax | 520-838-7698
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Authorized Official
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Title or Position | CEO
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Name | CLINTON G KUNTZ
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Credential |
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Telephone | 520-601-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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