| NPI | 1386680999 |
|---|---|
| Doing Business As | VONS PHARMCAY #2195 |
| 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 PH1171) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-11-17 |