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Organization

NEIGHBORHOOD PHARMACY LLC

Active
Other names
NEIGHBORHOOD PHARMACY, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
THERESIA MOLOI MBA (OWNER)
(480) 507-3393
Entity
Organization

Contact information

Practice address
2571 S VAL VISTA DR, SUITE 101, GILBERT, AZ 85295-6232
(480) 507-3393
(480) 507-3998
Mailing address
2571 S VAL VISTA DR, SUITE 101, GILBERT, AZ 85295-6232
(480) 507-3393
(480) 507-3998

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005250
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0356647
NCPDP PROVIDER IDENTIFICATION NUMBER
05
517094
AZ
Enumeration date
04/20/2010
Last updated
01/22/2013
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