Organization
VITALAB PHARMACY INC
Active
Parent organization
ALERACARE HOLDINGS LLC
Other names
Vasco Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALERACARE HOLDINGS LLC
Authorized official
PAUL VASILIAUSKAS (SR VP BUSINESS DEVELOPMENT)
(602) 971-6950
Entity
Organization
Contact information
Practice address
3237 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(602) 346-0204
(877) 637-6691
Mailing address
4045 E BELL RD STE 163, PHOENIX, AZ 85032-2240
(602) 971-6950
(602) 404-2504
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
09/22/2020
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