Most Relevant Information
Provider Data
| NPI Number: | 1003240847 |
| Provider Name: | KEVIN JAY CARRASCO PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 69434 |
Most Important Dates
| Enumeration Date: | 08/28/2013 |
| Last Updated: | 08/28/2013 |
Provider Practice Location
3601 S 6TH AVE
TUCSON
AZ
857230001
Practice Location Phone/Fax
| Phone: | 5207921450 |
| Fax: |
Provider Mailing Location
2616 SARANDI GRANDE DR
HACIENDA HEIGHTS
CA
917454836
Provider Mailing Phone/Fax
| Phone: | 6263788223 |
| Fax: |