Most Relevant Information
Provider Data
| NPI Number: | 1003380577 |
| Provider Name: | SAMANTHA PENN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 1-16802 |
Most Important Dates
| Enumeration Date: | 01/17/2019 |
| Last Updated: | 01/17/2019 |
Provider Practice Location
5301 E GRANT RD
TUCSON
AZ
857122805
Practice Location Phone/Fax
| Phone: | 5203245122 |
| Fax: |
Provider Mailing Location
7990 E SNYDER RD APT 15201
TUCSON
AZ
857509033
Provider Mailing Phone/Fax
| Phone: | 9135931225 |
| Fax: |