Organization
VITALAB PHARMACY INC
Active
Parent organization
ALERACARE HOLDINGS LLC
Other names
Vasco Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALERACARE HOLDINGS LLC
Authorized official
PAUL VASILIAUSKAS (SR VP BUSINESS DEVELOPMENT)
(602) 971-6950
Entity
Organization
Contact information
Practice address
13026 W RANCHO SANTA FE BLVD STE B100, AVONDALE, AZ 85392-1712
(602) 346-0204
Mailing address
4045 E BELL RD STE 163, PHOENIX, AZ 85032-2240
(602) 346-0204
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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