| NPI | 1720875800 |
|---|---|
| Doing Business As | VINE DISCOUNT PHARMACY & MEDICAL SUPPLY, LTC |
| Entity Type | Organization |
| Authorized Contact | ROSEANNE RUZANNA PAPOYAN President 323-957-9446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |