OrganizationActive
Vitalab Pharmacy Inc
NPI 1316443690 · Infusion Therapy Clinic/Center · Prescott Valley, AZ
Provider details
- NPI number
- 1316443690
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Aleracare Holdings LLC
- Organization subpart
- Yes
- Authorized official
- Paul Vasiliauskas, Sr Vp Business Development(602) 971-6950
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3237 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone: (602) 346-0204
Fax: (877) 637-6691
Approximate (ZIP-level) locationGet directions
Mailing address
4045 E Bell Rd Ste 163
Phoenix, AZ 85032-2240
Other names (DBA / former)
- Doing business as
- Vasco Infusion
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.