Provider Demographics
NPI:1467162966
Name:DAROUICHE, GEORGE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:DAROUICHE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1154 S OAK CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-8109
Mailing Address - Country:US
Mailing Address - Phone:310-415-0007
Mailing Address - Fax:
Practice Address - Street 1:3325 N HUNT HWY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-6894
Practice Address - Country:US
Practice Address - Phone:520-723-4885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist