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Mr. Mario Mandujano
Pharmacist in Mesa, Arizona
NPI 1104157122

Mario Mandujano is a Pharmacist based in Mesa, AZ. Mario Mandujano practices in Mesa, AZ. The NPI Number for Mario Mandujano is 1104157122 and holds a License No. AZ12567 (Arizona).

The current practice location address for Mario Mandujano is 1142 W Guadalupe Rd, Mesa, AZ and can be reached out via phone at 480-345-7367 and via fax at 480-345-6197.

Location: 1142 W Guadalupe Rd, Mesa, AZ, 85210-7602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104157122
Provider Name
Mario Mandujano
Credential
Provider Entity Type
Individual
Gender
Male
Address
1142 W Guadalupe Rd, Mesa, AZ, 85210-7602
Phone Number
480-345-7367
Fax Number
480-345-6197
Provider Enumeration Date
01/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1142 W Guadalupe Rd
City
Mesa
State
Arizona
Zip
85210-7602
Phone Number
480-345-7367
Fax Number
480-345-6197
person
Provider Business Mailing Address Details
Address
1142 W Guadalupe Rd
City
Mesa
State
Arizona
Zip
85210-7602
Phone Number
480-345-7367
Fax Number
480-345-6197
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
AZ12567 (Arizona)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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