NPI 1003240847

Kevin Jay Carrasco, PHARMD

Practitioner Pharmacist Tucson, AZ

Practice location

Address: 3601 S 6th Ave, Tucson, AZ 85723-0001
Phone: (520) 792-1450
Mailing address: 2616 Sarandi Grande Dr, Hacienda Heights, CA 91745-4836

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 69434 (CA)

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Registry record

NPI: 1003240847
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2013
Record last updated: 28 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.