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Organization

VINE HOSPITALITY, LLC

Active
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Organization

VINE HOSPITALITY, LLC

Active
Other names
Equilibria
Organization subpart
No

Provider details

NPI number
Authorized official
VINNIE DAM PHARM.D. (SUPERVISING PHARMACIST)
(949) 705-8386
Entity
Organization

Contact information

Practice address
320 BEDFORD AVE, 1ST FLOOR, BROOKLYN, NY 11249-4368
(949) 705-8386
Mailing address
320 BEDFORD AVE, 1ST FLOOR, BROOKLYN, NY 11249-4368
(949) 705-8386

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
034320
NY

Other

Enumeration date
09/21/2016
Last updated
09/21/2016
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