Organization
VITALAB PHARMACY INC
Active
Parent organization
ALERACARE HOLDINGS LLC
Other names
Vasco Rx
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALERACARE HOLDINGS LLC
Authorized official
PAUL VINCENT VASILIAUSKAS (SR.V.P. BUSINESS DEVELOPMENT)
(602) 971-6950
Entity
Organization
Contact information
Practice address
4045 E BELL RD, SUITE 163, PHOENIX, AZ 85032-2236
(602) 971-6950
(602) 404-2504
Mailing address
4045 E BELL RD, SUITE 163, PHOENIX, AZ 85032
(602) 971-6950
(602) 404-2504
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
Y004706
AZ
Other
Enumeration date
10/17/2016
Last updated
09/22/2020
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