Organization
MESA NEIGHBORHOOD PHARMACY LLC
Active
Organization
MESA NEIGHBORHOOD PHARMACY LLC
Active
Other names
Phoenix Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITTELIAN FORBES PHARMD (OWNER)
(602) 237-6677
Entity
Organization
Contact information
Practice address
1701 E THOMAS RD, SUITE 105, PHOENIX, AZ 85016-7646
(480) 329-9585
Mailing address
1701 E THOMAS RD, SUITE 105, PHOENIX, AZ 85016-7646
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y006730
AZ
Other
Enumeration date
01/29/2016
Last updated
06/16/2023
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