Organization
VPRP, INC.
Active
Other names
Villa Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY PORTER (VICE PRESIDENT)
(562) 500-6291
Entity
Organization
Contact information
Practice address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4192
(714) 998-3030
Mailing address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4192
(714) 998-3030
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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