Wilmot Pharmacy

LBN: Marana Health Center Inc
Wilmot Pharmacy is an health care organization with primary practice located at 899 N Wilmot Rd Ste B , Tucson AZ 85711-1712. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Marana Health Center Inc can be contacted via phone (520) 616-1572, or through Estala, Lisette via phone (520) 682-4111.

Contact Information

Primary practice address
899 N Wilmot Rd Ste B Tucson AZ 85711-1712
Fax: (520) 616-1573
Website:
Authorized official contact:
Name: Estala, Lisette

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Clinic Pharmacy 3336C0002X OTC5399 Arizona

Profile Details

NPI number 1154688927
LBN Legal business name Marana Health Center Inc
DBA Doing business as Wilmot Pharmacy
Authorized official Estala, Lisette
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2012
Last updated Oct 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154688927 NPPES
Arizona MEDICAID 714455
Arizona Other 329592

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