| NPI | 1073368908 |
|---|---|
| Doing Business As | VINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIN KIM President 551-404-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |