Organization
VISTA COMMUNITY CLINIC - PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY MUENZ (REVENUE MANAGER)
(760) 726-0065
Entity
Organization
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHY43164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510645
NATIONAL ASSOCIATION OF BOARDS OF PHARMACY
CA
Enumeration date
04/23/2007
Last updated
05/27/2008
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