Pavilions Pharmacy #2212
LBN: Vons Companies Inc
Pavilions Pharmacy #2212 is an health care organization with primary practice located at 11030 Jefferson Blvd , Culver City CA 90230-5520. 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) 398-8044, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
11030 Jefferson Blvd
Culver City CA 90230-5520
Phone: (310) 398-8044
Fax: (310) 398-1505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY52183 | California |
Profile Details
| NPI number | 1538105176 |
|---|---|
| LBN Legal business name | Vons Companies Inc |
| DBA Doing business as | Pavilions Pharmacy #2212 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538105176 | NPPES |
| Other | 1990135 | PK | |
| MEDICAID | 1538105176 | PK |
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