Organization
VONS COMPANIES INC
Active
Other names
VONS PHARMACY #2613
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
6450 SKY POINTE DR, LAS VEGAS, NV 89131-4058
(702) 515-1821
(702) 515-1839
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC 2-B, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH01783
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609805639
—
NV
01
—
2051661
PK
—
Enumeration date
07/02/2006
Last updated
08/01/2024
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