Provider Demographics
NPI:1922315837
Name:LUCERO, MARCELINO ALVAREZ JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARCELINO
Middle Name:ALVAREZ
Last Name:LUCERO
Suffix:JR
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:PO BOX 26792
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85726-6792
Mailing Address - Country:US
Mailing Address - Phone:520-440-3487
Mailing Address - Fax:
Practice Address - Street 1:525 W VALENCIA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-7636
Practice Address - Country:US
Practice Address - Phone:520-294-0451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0156601835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist