Organization
HARBOR VISTA
Active
Other names
HARBOR VISTA
Organization subpart
No
Provider details
NPI number
Authorized official
FEMI OMODARA (BPHARM)
(602) 277-5444
Entity
Organization
Contact information
Practice address
9133 W THUNDERBIRD, #102, PEORIA, AZ 85381
(602) 277-5444
Mailing address
PO BOX 5693, GOODYEAR, AZ 85338-0612
(602) 277-5444
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4318
AZ
Other
Enumeration date
04/20/2007
Last updated
09/24/2009
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