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Organization

VONS COMPANIES INC

Active
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Organization

VONS COMPANIES INC

Active
Other names
PAVILIONS PHARMACY #2989
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (MANAGER, ENROLLMENTS)
(208) 395-3954
Entity
Organization

Contact information

Practice address
14845 VENTURA BLVD, SHERMAN OAKS, CA 91403-3620
(208) 395-6200
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—

Other

Enumeration date
01/06/2020
Last updated
01/06/2020
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