| Prescription Lab Compounding Pharmacy | |
|
6586 E Grant Rd Tucson AZ 85715-3801 | |
| (520) 886-1035 | |
| (520) 886-3548 |
| Full Name | Prescription Lab Compounding Pharmacy |
|---|---|
| Speciality | Clinic/center |
| Location | 6586 E Grant Rd, Tucson, Arizona |
| Authorized Official Name and Position | David Anthony Nicoletti (PRESIDENT) |
| Authorized Official Contact | 5208861035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescription Lab Compounding Pharmacy 6586 E Grant Rd Tucson AZ 85715-3801 Ph: (520) 886-1035 | Prescription Lab Compounding Pharmacy 6586 E Grant Rd Tucson AZ 85715-3801 Ph: (520) 886-1035 |
| NPI Number | 1124213640 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124213640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | Y02793 (Arizona) | Primary |
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