Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTOR PROVENCIO, RPH
ActiveVICTOR PROVENCIO, RPH is a Pharmacist healthcare provider located in CASA GRANDE, Arizona. NPI 1679649958 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1679649958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.530012169525 yrs)
- Last Updated
- Nov 17, 2011
- License
-
6049 (AZ)
Practice Information
- Address
-
865 N ARIZOLA RDCASA GRANDE, AZ, 851226011Browse AZ providers · Browse ZIP 85122
- Phone
- 5208363446
- Fax
- 5208368807
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in CASA GRANDE, AZ
| Name | Credential | NPI |
|---|---|---|
| JOSE CUESTAS III | RPH | 1477629830 |
| OLUSOLA OMOTUNDE JOLAOGUN | — | 1548595853 |
| DR. SIMON OKUAGU | PHARMD | 1700111010 |
| MR. RICHARD LYNN HARRIS | RPH | 1225368582 |
| MR. DENNIS DARRELL ROSS | RPH | 1801126040 |
| DR. ANDREW S THATCHER | PHARMD | 1457681660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.