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NPI Code Detail

MEDICARE: MARANA HEALTH CENTER INC

MEDICARE: MARANA HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyY004885AZ
33336C0002XClinic Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154584977
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARANA HEALTH CENTER INC
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : MARANA
State : AZ
Zip : 85653-0188
Country : US
Telephone Number : 520-616-6778
Fax Number : 520-882-0697
Provider Business Practice Location Address
First Line : 3690 S PARK AVE STE 805
Second Line :
City : TUCSON
State : AZ
Zip : 85713-5042
Country : US
Telephone Number : 520-616-6778
Fax Number : 520-882-0697
Authorized Official
Title or Position : CEO
Name : DR. JOSHUA B CARZOLI
Credential : PHARMD
Telephone Number : 520-682-4111
Provider Enumeration Date : 07/02/2008
Last Update Date : 02/03/2025

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Directions to “MARANA HEALTH CENTER INC ” Practice Location

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