Provider Demographics
NPI:1154396448
Name:V N PHARMACY INC
Entity type:Organization
Organization Name:V N PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANJEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-536-8711
Mailing Address - Street 1:8244 GARVEY AVE
Mailing Address - Street 2:#B
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770
Mailing Address - Country:US
Mailing Address - Phone:626-307-2711
Mailing Address - Fax:626-307-2712
Practice Address - Street 1:8244 GARVEY AVE STE B
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2556
Practice Address - Country:US
Practice Address - Phone:626-307-2711
Practice Address - Fax:626-307-2712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA461690Medicaid
CAPHA461690Medicaid