NPI | 1194761700 |
---|---|
Doing Business As | VONS PHARMACY #4196 |
Entity Type | Organization |
Authorized Contact | MICHELLE ANN RIVERS Managed Care Plan Specialist 623-869-3524 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: NV PH1172) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2008-11-18 |