Organization
BELLES PHARMACY LLC
Active
Other names
Belles Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIWATA PEREZ RPH (OWNER/PIC/AO)
(702) 339-2183
Entity
Organization
Contact information
Practice address
15170 W BELL RD STE 100, SURPRISE, AZ 85374
(623) 398-3650
(623) 398-3553
Mailing address
15170 W BELL RD STE 100, SURPRISE, AZ 85374-2481
(623) 398-3650
(623) 398-3553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y007405
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172187
PK
—
Enumeration date
10/10/2017
Last updated
05/16/2018
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