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Organization
VONS COMPANIES INC
Active
Organization
VONS COMPANIES INC
Active
Other names
VONS PHARMACY #2152
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
155 W CALIFORNIA BLVD, PASADENA, CA 91105-3005
(626) 577-2594
(626) 577-4006
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750310785
—
CA
01
—
1999769
PK
—
Enumeration date
07/02/2006
Last updated
09/12/2019
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