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Organization
VPRP, INC.
Active
Organization
VPRP, INC.
Active
Other names
Villa Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOBIAS PORTER (CORP SECRETARY)
(714) 998-3030
Entity
Organization
Contact information
Practice address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4133
(714) 998-3030
(714) 998-6060
Mailing address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4133
(714) 998-3030
(714) 998-6060
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY53366
CA
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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