Organization · NPI-2

Vons Companies INC

Pharmacy, Community/Retail Pharmacy · Yorba Linda, CA

NPI number1285665091
StatusActive
Last updated in NPPESOct 8, 2018

Details

NPI
1285665091
Entity type
Organization (NPI-2)
Legal business name
Vons Companies INC
Organization subpart
No
Enumeration date
Jul 6, 2006
Last updated
Oct 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY52152CAYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Vons Pharmacy #3069 (Doing Business As)

Practice location

20445 Yorba Linda Blvd
Yorba Linda, CA 92886-3042

Phone 714-777-1680 · Fax 714-777-3386

Mailing address

250 E Parkcenter Blvd
Mailstop Sec 2-B
Boise, ID 83706-3940

Phone 208-395-6200 · Fax 623-282-3834

Authorized official

Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906

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