=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295066264
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SYLVESTER ANTHONY CARIA PHARM.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2010
-----------------------------------------------------
Last Update Date | 01/14/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7800 N CORTARO RD
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85743-8326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-572-8699
-----------------------------------------------------
Fax | 520-572-8795
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7800 N CORTARO RD
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85743-8326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-572-8699
-----------------------------------------------------
Fax | 520-572-8795
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | S014215
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------