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Organization

VINE DISCOUNT PHARMACY & MEDICAL SUPPLY

Active
Parent organization
VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
Other names
Vine Discount Pharmacy & Medical Supply, LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
Authorized official
ROSEANNE RUZANNA PAPOYAN PHARM.D. (PRESIDENT)
(323) 957-9446
Entity
Organization

Contact information

Practice address
1253 VINE ST STE 11, LOS ANGELES, CA 90038-1662
(323) 957-9446
(323) 957-9846
Mailing address
1253 VINE ST STE 11, LOS ANGELES, CA 90038-1662
(323) 957-9446
(323) 957-9846

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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