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Organization
RAUL'S VINELAND PHARMACY
Active
Organization
RAUL'S VINELAND PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL ANTONIO MERCURIO ETC (OWNER)
(818) 982-7825
Entity
Organization
Contact information
Practice address
11717 SATICOY ST, NORTH HOLLYWOOD, CA 91605-2833
(818) 982-7825
(818) 982-7827
Mailing address
11717 SATICOY ST, NORTH HOLLYWOOD, CA 91605-2833
(818) 982-7825
(818) 982-7827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY37601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0579461
NABP
CA
Enumeration date
10/04/2005
Last updated
06/16/2008
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