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Organization
VONS COMPANIES INC
Active
Organization
VONS COMPANIES INC
Active
Other names
VONS PHARMACY #3044
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1201 AVOCADO AVE, EL CAJON, CA 92020-7704
(619) 440-1915
(619) 440-1339
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225074818
—
CA
01
—
2000466
PK
—
Enumeration date
06/21/2006
Last updated
09/12/2019
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