Organization
VM PHARMACY INC
Active
Other names
VM Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH MEHTA (PIC/CEO)
(562) 977-7763
Entity
Organization
Contact information
Practice address
12626 SOUTH ST, CERRITOS, CA 90703-7232
(562) 809-8679
(562) 809-3299
Mailing address
12626 SOUTH ST, CERRITOS, CA 90703-7232
(562) 809-8679
(562) 809-3299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
50381
CA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962718387
—
CA
01
—
2126993
PK
—
Enumeration date
08/23/2010
Last updated
02/18/2022
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