King Tut Pharmacy LLC

NPI #1548767650 in Douglas, Arizona

Provider Information

NPI Number
1548767650
Entity Type
Organization
Organization Name
King Tut Pharmacy LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 6, 2018
Last Updated
Oct 6, 2025

Practice Location

Address
90 E 3RD ST
Address 2
SUITE B
State
Arizona
ZIP Code
85607-3154
Phone
(520) 364-6304

Authorized Official

Name
KARIEM ISMAIL
Title
OWNER/PIC/AO
Phone
(520) 220-1281

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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