Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Victor Provencio, RPH

Individual provider Pharmacist · NPI 1679649958

Victor Provencio, RPH is a Pharmacist in Casa Grande, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

865 N Arizola Rd
Casa Grande, AZ 85122-6011
Phone: (520) 836-3446
Fax: (520) 836-8807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 6049 (AZ)

Record details

NPI number1679649958
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESNovember 17, 2011

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