Organization
HEALTH VENTURES INC
Active
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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