Vons Pharmacy #2162

LBN: Vons Companies Inc
Vons Pharmacy #2162 is an health care organization with primary practice located at 1440 W 25Th St , San Pedro CA 90732-4418. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vons Companies Inc can be contacted via phone (310) 832-0319, or through Eliopulos, Tiffany via phone (208) 395-3906.

Contact Information

Primary practice address
1440 W 25Th St San Pedro CA 90732-4418
Fax: (310) 832-1142
Website:
Authorized official contact:
Name: Eliopulos, Tiffany

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY52213 California

Profile Details

NPI number 1487683413
LBN Legal business name Vons Companies Inc
DBA Doing business as Vons Pharmacy #2162
Authorized official Eliopulos, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Nov 1st, 2018 - about 6 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 1487683413 NPPES
Other 2000511 PK
MEDICAID 1487683413 PK

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