Organization
VENTEGRA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT TAKETOMO PHARM.D. (PRESIDENT/CEO)
(858) 551-8111
Entity
Organization
Contact information
Practice address
450 N BRAND BLVD, STE. 600, GLENDALE, CA 91203-2347
(858) 551-8111
(858) 551-8175
Mailing address
450 N BRAND BLVD, STE. 600, GLENDALE, CA 91203-2347
(858) 551-8111
(858) 551-8175
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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