Organization
JV PHARMACY & MEDICAL SUPPLY INC
Active
Other names
Simi Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VANDANA PARNAMI (PRESIDENT)
(818) 731-7276
Entity
Organization
Contact information
Practice address
1357 E LOS ANGELES AVE STE C, SIMI VALLEY, CA 93065-2805
(805) 582-7474
Mailing address
1357 E LOS ANGELES AVE STE C, SIMI VALLEY, CA 93065-2805
(805) 582-7474
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54367
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669731576
—
CA
01
—
2135200
PK
—
Enumeration date
05/11/2012
Last updated
10/27/2016
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