Vine Discount Pharmacy & Medical Supply
LBN: Vine Discount Pharmacy & Medical Supply
Vine Discount Pharmacy & Medical Supply is an health care organization with primary practice located at 1253 N Vine St Ste 11, Los Angeles CA 90038-1662. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vine Discount Pharmacy & Medical Supply can be contacted via phone (323) 957-9446, or through Papoyan, Roseanne via phone (323) 957-9446.
Contact Information
Primary practice address
1253 N Vine St Ste 11
Los Angeles CA 90038-1662
Phone: (323) 957-9446
Fax: (323) 957-9846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46506 | California |
| Suppliers / Specialty Pharmacy | 3336S0011X | 46506 | California |
Profile Details
| NPI number | 1023011053 |
|---|---|
| LBN Legal business name | Vine Discount Pharmacy & Medical Supply |
| DBA Doing business as | Vine Discount Pharmacy & Medical Supply |
| Authorized official | Papoyan, Roseanne PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023011053 | NPPES |
| California | Other | 54097 | PHARMACIST-IN-CHARGE LIC# |
| California | MEDICAID | PHA465060 | PHARMACIST-IN-CHARGE LIC# |
| California | Other | 5607489 | PHARMACIST-IN-CHARGE LIC# |
| California | Other | PHY46506 | PHARMACIST-IN-CHARGE LIC# |
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