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General NPI Number Information
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NPI Number | 1851615579
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Entity Type | Organization
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Legal Business Name | EL RIO SANTA CRUZ NEIGHBORHOOD
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 7490 S CAMINO DE OESTE
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City | TUCSON
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State | AZ
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Zip | 85746-9308
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Country | US
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Telephone | 520-838-6617
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Fax | 520-578-4059
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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 | 520-670-3813
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Fax | 520-670-7560
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. JOSHUA B CARZOLI SR.
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Credential | PHARM D
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Telephone | 520-309-3959
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y005258
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License Number State | AZ
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