Valley Vista Pharmacy
LBN: Vista Pharmacies, Inc.
Valley Vista Pharmacy is an health care organization with primary practice located at 15791 Bear Valley Rd , Hesperia CA 92345-1746. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Vista Pharmacies, Inc. can be contacted via phone (760) 956-1741, or through Vick, Mike via phone (909) 908-0090.
Contact Information
Primary practice address
15791 Bear Valley Rd
Hesperia CA 92345-1746
Phone: (760) 956-1741
Fax: (760) 956-1742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY48290 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY48290 | California |
Profile Details
| NPI number | 1972658151 |
|---|---|
| LBN Legal business name | Vista Pharmacies, Inc. |
| DBA Doing business as | Valley Vista Pharmacy |
| Authorized official | Vick, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Aug 13th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972658151 | NPPES |
| California | Other | PHY48290 | LICENSE |
| California | MEDICAID | PHA482900 | LICENSE |
| California | Other | 5625186 | LICENSE |
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