Provider Demographics
NPI:1770800385
Name:V&P PHARMACY
Entity type:Organization
Organization Name:V&P PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAU
Authorized Official - Middle Name:TRUNG
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:619-501-3245
Mailing Address - Street 1:4502 UNIVERSITY AVE. SUITE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1895
Mailing Address - Country:US
Mailing Address - Phone:619-501-3245
Mailing Address - Fax:619-501-3246
Practice Address - Street 1:4502 UNIVERSITY AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1895
Practice Address - Country:US
Practice Address - Phone:619-501-3245
Practice Address - Fax:619-501-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY50261333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy