# VONS COMPANIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VONS PHARMACY \#2188
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134165764
- **Authorized official:** TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
- **Authorized official phone:** (208) 395-3906

## Contact information

- **Practice address:** 8949 N CEDAR AVE, FRESNO, CA 93720-1890
- **Practice address phone:** (559) 438-1356
- **Practice address fax:** (559) 438-6594
- **Mailing address:** 250 E PARKCENTER BLVD, MAILSTOP SEC 2-B, BOISE, ID 83706-3940
- **Mailing address phone:** (208) 395-6200
- **Mailing address fax:** (623) 282-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY52176 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 11/01/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1134165764 | — | CA |
| 01 | — | 1993024 | PK | — |