Organization
MESA NEIGHBORHOOD PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITTELIAN FORBES PHARMD (OWNER)
(602) 237-6677
Entity
Organization
Contact information
Practice address
1701 E THOMAS RD STE 105, PHOENIX, AZ 85016-7672
(602) 237-6677
Mailing address
1701 E THOMAS RD STE 105, PHOENIX, AZ 85016-7672
(602) 237-6677
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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