Organization
VECTRARX MAIL PHARMACY SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD CACCIATORE RPH (PHARMACIST IN CHARGE AND OWNER)
(520) 405-5563
Entity
Organization
Contact information
Practice address
10860 N MAVINEE DR STE 100, ORO VALLEY, AZ 85737-9514
(520) 360-9641
Mailing address
10860 N MAVINEE DR STE 100, ORO VALLEY, AZ 85737-9514
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y007390
ARIZONA BOARD OF PHARMACY LIMITED SERVICE PHARMACY PERMIT NUMBER
AZ
Enumeration date
10/11/2017
Last updated
10/11/2017
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