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Organization
VM RX INC
Active
Organization
VM RX INC
Active
Other names
VALLEY MARKET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN F HAINKA (PRESIDENT/OWNER)
(818) 774-9300
Entity
Organization
Contact information
Practice address
18353 VANOWEN ST, SUITE J, RESEDA, CA 91335-5498
(818) 774-9300
(818) 774-9301
Mailing address
18353 VANOWEN ST, SUITE J, RESEDA, CA 91335-5498
(818) 774-9300
(818) 774-9301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY54667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-54670
NCPDP PROVIDER
CA
01
—
PHY 54667
CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
07/28/2014
Last updated
12/22/2016
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