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
KRISTINE LOWE PHARMD (PIC)
(602) 971-6950
Entity
Organization
Contact information
Practice address
4045 E BELL RD, STE 163, PHOENIX, AZ 85032-2236
(602) 971-6950
(602) 404-2504
Mailing address
4045 E BELL RD, STE 163, PHOENIX, AZ 85032-2240
(602) 971-6950
(602) 404-2504
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y004706
AZ
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1988584
PK
—
05
—
302331
—
AZ
Enumeration date
03/15/2007
Last updated
09/19/2025
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