Individual
MRS. MITA MANISH BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6131 E SOUTHEN AVE, MESA, AZ 85206
(480) 830-4229
(480) 654-9136
Mailing address
6131 E SOUTHEN AVE, MESA, AZ 85206
(480) 830-4229
(480) 654-9136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00006111
NM
183500000X
Pharmacist
Primary
S012214
AZ
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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