Individual provider · Type 1 NPI

Vidal Mateo Mendoza Iii

Pharmacist · Polacca, AZ

NPI number 1891524740 Active

Practice location

Highway 264 Mile Post 388
Polacca, AZ 86042

Call (928) 737-6000 Map

Mailing address

PO Box 1081
Keams Canyon, AZ 86034-1081

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2961463 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

14 other providers at this address

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About NPI 1891524740

Vidal Mateo Mendoza Iii's National Provider Identifier is 1891524740, issued on Jul 30, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Polacca, AZ. The record was last updated on Jul 30, 2024.