Provider Demographics
NPI:1073757670
Name:DIVERSIFIED PHARMACY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DIVERSIFIED PHARMACY SOLUTIONS, LLC
Other - Org Name:SADDLEBROOKE DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:RHOADS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-721-3088
Mailing Address - Street 1:6369 E TANQUE VERDE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3833
Mailing Address - Country:US
Mailing Address - Phone:520-721-3088
Mailing Address - Fax:
Practice Address - Street 1:63717 E SADDLE BROOKE BLVD
Practice Address - Street 2:# 1
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739
Practice Address - Country:US
Practice Address - Phone:520-721-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY0051413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy