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NPI Code Detail

MEDICARE: SCOTT PROSCHEK PHARMD

MEDICARE: SCOTT PROSCHEK PHARMD
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
1183500000XPharmacistS027807AZ

General Provider Information

NPI Number : 1386509834
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT PROSCHEK PHARMD
Provider Business Mailing Address
First Line : 2002 E FORT LOWELL RD UNIT 1105
Second Line :
City : TUCSON
State : AZ
Zip : 85719-2363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-5770
Country : US
Telephone Number : 520-628-9428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ SCOTT PROSCHEK PHARMD” Practice Location

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