Organization
E.V.A. HEALTH LLC
Active
Other names
VITAL CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHADI ABDUL NOUR PHARM D (MANAGING MEMBER)
(626) 827-2835
Entity
Organization
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 536-5853
(760) 501-8448
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 536-5853
(760) 501-8448
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60618
BOARD OF PHARMACY
CA
Enumeration date
04/03/2025
Last updated
06/27/2025
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