Provider Demographics
NPI:1023193059
Name:LA VOTRE RX INC
Entity Type:Organization
Organization Name:LA VOTRE RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:661-259-9244
Mailing Address - Street 1:25848 HEMINGWAY AVE
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-2319
Mailing Address - Country:US
Mailing Address - Phone:661-259-9244
Mailing Address - Fax:661-259-9769
Practice Address - Street 1:25848 HEMINGWAY AVE
Practice Address - Street 2:
Practice Address - City:STEVENSON RANCH
Practice Address - State:CA
Practice Address - Zip Code:91381-2319
Practice Address - Country:US
Practice Address - Phone:661-259-9244
Practice Address - Fax:661-259-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY444673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0544886OtherNCPDP
CAPHY44467OtherSTATE LICENSE
CAPHY44467OtherSTATE LICENSE