Vine Discount Pharmacy & Medical Supply

NPI 1023011053 - Pharmacy - 3336S0011X

NPI Details
NPI 1023011053
Enumeration Date 05/23/2005
Last Updated 06/16/2014
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name ROSEANNE ROSEANNE
Position PHARMACIST-IN-CHARGE
Phone (323) 957-9446
Fax (323) 957-9846
Practice Location
1253 N VINE ST
STE 11
LOS ANGELES CA, 90038-1662, US
Phone (323) 957-9446
Fax (323) 957-9846
Business Location
1253 N VINE ST
SUITE #11
LOS ANGELES CA, 90038-1662, US
Phone (323) 957-9446
Fax (323) 957-9846
Toxanomy
Taxonomy Code 3336S0011X
License State California
License Number 46506
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According to our database, Vine Discount Pharmacy & Medical Supply NPI is 1023011053, taxonomy code is 3336S0011X and license number is 46506, license state is located at California. Vine Discount Pharmacy & Medical Supply physically located at 1253 N Vine St, Los Angeles CA, 90038-1662. NPI Number 1033115704 has the healthcare provider type.

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1023011053 NPI number is provided on an as is basis without warranty of any kind. 1023011053 is maintained by the National Plan & Provider Enumeration System. The contents of Vine Discount Pharmacy & Medical Supply are for informational purposes only.