Vons Pharmacy #1625

LBN: Vons Companies Inc
Vons Pharmacy #1625 is an health care organization with primary practice located at 1260 W Redondo Beach Blvd , Gardena CA 90247-3411. 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) 767-7940, or through Hawkins, Demond via phone (208) 395-3905.

Contact Information

Primary practice address
1260 W Redondo Beach Blvd Gardena CA 90247-3411
Fax: (310) 767-1294
Website:
Authorized official contact:
Name: Hawkins, Demond

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY52363 California

Profile Details

NPI number 1801822689
LBN Legal business name Vons Companies Inc
DBA Doing business as Vons Pharmacy #1625
Authorized official Hawkins, Demond
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 19th, 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 1801822689 NPPES
Other 1995679 PK
MEDICAID 1801822689 PK

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