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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