Provider Demographics
NPI:1033410154
Name:VOLESKY, VONDA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VONDA
Middle Name:
Last Name:VOLESKY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13203 W DENTON CT
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-8390
Mailing Address - Country:US
Mailing Address - Phone:623-547-4581
Mailing Address - Fax:623-547-4583
Practice Address - Street 1:5115 N DYSART RD
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-3032
Practice Address - Country:US
Practice Address - Phone:623-547-4581
Practice Address - Fax:623-547-4583
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS009990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist