Individual
MR. MARIO JOHN MENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8055 W BELL ROAD, T-0825, PEORIA, AZ 85382
(623) 979-4484
Mailing address
8055 W BELL ROAD, PEORIA, AZ 85382
(623) 979-4484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP039095L
PA
183500000X
Pharmacist
Primary
S011346
AZ
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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