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Organization
VILLAGE ROSE PHARMACY, INC.
Active
Organization
VILLAGE ROSE PHARMACY, INC.
Active
Other names
Village Rose Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LORELEI NGUYEN (OWNER)
(619) 750-8101
Entity
Organization
Contact information
Practice address
7773 UNIVERSITY AVE, LA MESA, CA 91942-4950
(619) 741-1344
(619) 741-1322
Mailing address
7773 UNIVERSITY AVE, LA MESA, CA 91942-4950
(619) 741-1344
(619) 741-1322
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150593
PK
—
Enumeration date
03/05/2015
Last updated
03/05/2015
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