Provider Demographics
NPI:1346358470
Name:BRUECKNER, RITA LIPPERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:LIPPERT
Last Name:BRUECKNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:RITA
Other - Middle Name:ELIZABETH
Other - Last Name:LIPPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3480 E BRITANNIA DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-5007
Mailing Address - Country:US
Mailing Address - Phone:520-295-3419
Mailing Address - Fax:520-295-3462
Practice Address - Street 1:3675 E BRITANNIA DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-5041
Practice Address - Country:US
Practice Address - Phone:520-209-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist