Provider Demographics
NPI:1275661332
Name:THE UNIVERSITY OF ARIZONA COLLEGE OF PHARMACY
Entity Type:Organization
Organization Name:THE UNIVERSITY OF ARIZONA COLLEGE OF PHARMACY
Other - Org Name:MEDICATION MANAGEMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR/PIC
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:520-626-1793
Mailing Address - Street 1:PO BOX 210300
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0300
Mailing Address - Country:US
Mailing Address - Phone:844-866-3730
Mailing Address - Fax:520-626-0626
Practice Address - Street 1:220 W 6TH ST. USA B113
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721
Practice Address - Country:US
Practice Address - Phone:844-866-3730
Practice Address - Fax:520-626-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4709183500000X
AZY004709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty