Individual provider · Type 1 NPI

Victor Provencio, RPH

Pharmacist · Casa Grande, AZ

NPI number 1679649958 Active

Practice location

865 N Arizola Rd
Casa Grande, AZ 85122-6011

Call (520) 836-3446 Map

Fax (520) 836-8807

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X6049 (AZ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1679649958

Victor Provencio, RPH's National Provider Identifier is 1679649958, issued on Nov 28, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Casa Grande, AZ. The record was last updated on Nov 17, 2011.