Organization
HEALTH VENTURES INC
Active
Other names
Milvia Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK PROSPER RPH (VP HEALTH VENTURES, INC.)
(510) 655-4000
Entity
Organization
Contact information
Practice address
2001 DWIGHT WAY RM 1380D, BERKELEY, CA 94704-2608
(510) 204-6550
(510) 204-5895
Mailing address
PO BOX 742432, LOS ANGELES, CA 90074-2432
(510) 204-6550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123949
PK
—
Enumeration date
02/01/2010
Last updated
01/27/2015
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