MEDICARE: MARYAM REYAD

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
1	183500000X	Pharmacist	S027874	AZ

General Provider Information

NPI Number	:	1831032622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYAM REYAD

Provider Business Mailing Address
First Line	:	602 N ROOK AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-1631
Country	:	US
Telephone Number	:	520-891-3358
Fax Number	:

Provider Business Practice Location Address
First Line	:	6255 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-5834
Country	:	US
Telephone Number	:	520-886-6377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ MARYAM REYAD ” Practice Location

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