Healthcare Provider Details

I. General information

NPI: 1972468932
Provider Name (Legal Business Name): DARIUS FLORIN VLADEANU RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15450 N TATUM BLVD
PHOENIX AZ
85032-4241
US

IV. Provider business mailing address

7903 W KIMBERLY WAY
GLENDALE AZ
85308-6186
US

V. Phone/Fax

Practice location:
  • Phone: 602-996-3707
  • Fax:
Mailing address:
  • Phone: 602-877-5087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027770
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: