# VONS \#2701

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669850814
- **Authorized official:** DR. IRENE TERESA MENDOZA PHARM D (PHARMACIST)
- **Authorized official phone:** (559) 294-6730

## Contact information

- **Practice address:** 3100 FOWLER AVE, CLOVIS, CA 93611-2100
- **Practice address phone:** (559) 294-6730
- **Practice address fax:** (559) 294-6735
- **Mailing address:** 3100 FOWLER AVE, CLOVIS, CA 93611-2100
- **Mailing address phone:** (559) 294-6730
- **Mailing address fax:** (559) 294-6735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 41553 | CA | Yes |

## Other

- **Enumeration date:** 05/08/2015
- **Last updated:** 05/08/2015