Organization
VONS COMPANIES INC
Active
Other names
VONS PHARMACY #2511
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
2667 WINDMILL PKWY, HENDERSON, NV 89074-3384
(702) 361-1157
(702) 361-0642
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
PH01178
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056845
PK
—
05
—
2802679
—
NV
Enumeration date
06/21/2006
Last updated
09/12/2019
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