Victory Discount Pharmacy

LBN: Victory Discount Pharmacy Inc
Victory Discount Pharmacy is an health care organization with primary practice located at 12922 Victory Blvd Ste A, N Hollywood CA 91606-2924. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Victory Discount Pharmacy Inc can be contacted via phone (818) 752-9888, or through Yassini, Farhad via phone (818) 752-9888.

Contact Information

Primary practice address
12922 Victory Blvd Ste A N Hollywood CA 91606-2924
Phone: (818) 752-9888
Fax: (818) 752-0492
Website:
Map and Directions
Authorized official contact:
Name: Yassini, Farhad
Phone: (818) 752-9888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY41446 California

Profile Details

NPI number 1235126038
LBN Legal business name Victory Discount Pharmacy Inc
DBA Doing business as Victory Discount Pharmacy
Authorized official Yassini, Farhad
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Sep 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235126038 NPPES
Other 0532641 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA414460 NCPDP PROVIDER IDENTIFICATION NUMBER

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