Organization · Type 2 NPI

Portable Medical Pharmacy

Long Term Care Pharmacy · Tucson, AZ

NPI number 1558415992 Active

Practice location

6250 E Grant Rd, Ste 388
Tucson, AZ 85712-5805

Fax (520) 296-0417

Mailing address

5538 Duncan Dr
Las Vegas, NV 89130-2812

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Compounding Pharmacy 3336C0004XNone listed
Long Term Care Pharmacy Primary 3336L0003X4292 (AZ)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1558415992

Portable Medical Pharmacy's National Provider Identifier is 1558415992, issued on Jan 23, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Tucson, AZ. The record was last updated on Mar 6, 2017.