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Organization
VVG-RX
Active
Organization
VVG-RX
Active
Other names
VVG/Rx
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ERITZIAN (PRESIDENT)
(559) 916-0346
Entity
Organization
Contact information
Practice address
3030 N FRESNO ST, STE 107, FRESNO, CA 93703-1124
(559) 227-7726
(559) 227-7763
Mailing address
3030 N FRESNO ST, STE 107, FRESNO, CA 93703-1124
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5631470
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/13/2008
Last updated
12/24/2008
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