MEDICARE: MR. SAULIUS PLENYS RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	11548	AZ
2	183500000X	Pharmacist	051.033905	IL

General Provider Information

NPI Number	:	1831365188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SAULIUS PLENYS RPH

Provider Business Mailing Address
First Line	:	5941 E MCKELLIPS RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2754
Country	:	US
Telephone Number	:	480-830-6343
Fax Number	:	480-981-0156

Provider Business Practice Location Address
First Line	:	5941 E MCKELLIPS RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2754
Country	:	US
Telephone Number	:	480-830-6343
Fax Number	:	480-981-0156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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Directions to “ MR. SAULIUS PLENYS RPH” Practice Location

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