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Organization
VT PHARMACY INC
Active
Organization
VT PHARMACY INC
Active
Other names
VICTORY TAMPA MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FEILES RPH (OWNER)
(818) 345-6111
Entity
Organization
Contact information
Practice address
19300 VANOWEN ST, RESEDA, CA 91335-5022
(818) 345-6111
(818) 345-6531
Mailing address
19300 VANOWEN ST, RESEDA, CA 91335-5022
(818) 345-6111
(818) 345-6531
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY22006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076835
PK
—
05
—
PHA220060
—
CA
Enumeration date
10/04/2005
Last updated
11/23/2015
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