Provider Demographics
NPI:1215586755
Name:ORSINI, ROXANNA FELIX
Entity Type:Individual
Prefix:
First Name:ROXANNA
Middle Name:FELIX
Last Name:ORSINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9326 N SCARLET CANYON DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-5138
Mailing Address - Country:US
Mailing Address - Phone:520-245-3181
Mailing Address - Fax:
Practice Address - Street 1:1430 E FORT LOWELL RD STE 120
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2366
Practice Address - Country:US
Practice Address - Phone:520-585-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-07
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist