Organization
VISTA COMMUNITY CLINIC - PIER VIEW WAY DISPENSARY
Active
Parent organization
VISTA COMMINTY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISTA COMMINTY CLINIC
Authorized official
MR. TRACY MUENZ (REVENUE MANAGER)
(760) 726-0065
Entity
Organization
Contact information
Practice address
818 PIER VIEW WAY, OCEANSIDE, CA 92054-2803
(760) 631-5250
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
CLN932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540319
NATIONAL ASSOCIATION OF BOARDS OF PHARMACIES
CA
Enumeration date
04/18/2007
Last updated
05/27/2008
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