Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vidal Mateo Mendoza III

Individual provider Pharmacist · NPI 1891524740

Vidal Mateo Mendoza III is a Pharmacist in Polacca, Arizona. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024

Practice location Address checks out

Highway 264 Mile Post 388
Polacca, AZ 86042
Phone: (928) 737-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2961463 (ID)

Record details

NPI number1891524740
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJanuary 20, 2021

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