Provider Demographics
NPI:1124359054
Name:SOCARRAS, MARTA MARIA (RPH)
Entity Type:Individual
Prefix:MISS
First Name:MARTA
Middle Name:MARIA
Last Name:SOCARRAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-5333
Mailing Address - Country:US
Mailing Address - Phone:520-745-2277
Mailing Address - Fax:520-745-5950
Practice Address - Street 1:3910 E 22ND ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-5333
Practice Address - Country:US
Practice Address - Phone:520-745-2277
Practice Address - Fax:520-745-5950
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS008863183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist