Provider Demographics
NPI:1235212341
Name:HIGBEE, MARTIN DENNIS (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:DENNIS
Last Name:HIGBEE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11765 N VISTA DEL SOL
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9715
Mailing Address - Country:US
Mailing Address - Phone:520-219-7026
Mailing Address - Fax:520-219-7026
Practice Address - Street 1:3610 S 6 TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-629-1838
Practice Address - Fax:520-629-1758
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ090281835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric