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Organization
VIP PHARMACY INC
Active
Organization
VIP PHARMACY INC
Active
Other names
VIP Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS LEE (PHARMACIST IN CHARGE)
(951) 846-0022
Entity
Organization
Contact information
Practice address
126 AVOCADO AVE STE 101, PERRIS, CA 92571-2605
(951) 846-0022
(951) 916-0818
Mailing address
126 AVOCADO AVE STE 101, PERRIS, CA 92571-2605
(951) 846-0022
(951) 916-0818
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155260
PK
—
Enumeration date
10/26/2015
Last updated
01/20/2016
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