Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HOLMES PHARMD (PHARMACY MANAGER)
(480) 220-2163
Entity
Organization
Contact information
Practice address
7361 E ROCHELLE CIR, MESA, AZ 85207-1817
(480) 220-2163
Mailing address
7361 E ROCHELLE CIR, MESA, AZ 85207-1817
(480) 220-2163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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