Organization
V C ENTERPRISES INC
Active
Other names
VICTOR'S REGENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CASTILLO (OWNER, AO)
(505) 877-1620
Entity
Organization
Contact information
Practice address
1643 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4633
(505) 877-1620
(505) 877-3309
Mailing address
1643 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4633
(505) 877-1620
(505) 877-3309
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00002986
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056417
PK
—
05
—
57687
—
NM
Enumeration date
06/11/2006
Last updated
02/01/2016
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