Individual
PAMELA VITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7532 W SEQUOIA DR, GLENDALE, AZ 85308-6012
(630) 386-0527
Mailing address
7532 W SEQUOIA DR, GLENDALE, AZ 85308-6012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025403
AZ
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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