| NPI | 1023011053 |
|---|---|
| Doing Business As | VINE DISCOUNT PHARMACY & MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | ROSEANNE PAPOYAN Pharmacist In Charge 323-957-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA phy46506) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA 46506) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-03-07 |