# VINE DISCOUNT PHARMACY & MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
- **Other names:** Vine Discount Pharmacy & Medical Supply, LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720875800
- **Legal business name:** VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
- **Authorized official:** ROSEANNE RUZANNA PAPOYAN PHARM.D. (PRESIDENT)
- **Authorized official phone:** (323) 957-9446

## Contact information

- **Practice address:** 1253 VINE ST STE 11, LOS ANGELES, CA 90038-1662
- **Practice address phone:** (323) 957-9446
- **Practice address fax:** (323) 957-9846
- **Mailing address:** 1253 VINE ST STE 11, LOS ANGELES, CA 90038-1662
- **Mailing address phone:** (323) 957-9446
- **Mailing address fax:** (323) 957-9846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2025
- **Last updated:** 04/22/2025