Provider Demographics
NPI:1386798809
Name:TUCSON IV THERAPY, LLC
Entity type:Organization
Organization Name:TUCSON IV THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:520-795-0111
Mailing Address - Street 1:1997 W PRICE ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-2218
Mailing Address - Country:US
Mailing Address - Phone:520-795-0111
Mailing Address - Fax:520-795-2332
Practice Address - Street 1:1997 W PRICE ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-2218
Practice Address - Country:US
Practice Address - Phone:520-795-0111
Practice Address - Fax:520-795-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy