NPI | 1316983927 |
---|---|
Doing Business As | VONS PHARMACY #2079 |
Entity Type | Organization |
Authorized Contact | KATHY GIANNAKOPOULOS Manager, Enrollments 208-395-3954 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY52206) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2025-09-10 |