Disanto, Tara

Disanto, Tara is an sole proprietor health care provider with primary practice located at 1935 N Stapley Dr , Mesa AZ 85203-2749. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Disanto, Tara can be contacted via phone (480) 610-4173.

Contact Information

Primary practice address
1935 N Stapley Dr Mesa AZ 85203-2749
Phone: (480) 610-4173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X SO18655 Arizona
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X SO18655 Arizona

Profile Details

NPI number 1578966685
LBN Legal business name Disanto, Tara
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2014
Last updated Oct 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578966685 NPPES
Arizona Other SO18655 PHARMACIST LICENSE NUMBER

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