Provider Demographics
NPI:1932233640
Name:VASCONI DRUGS
Entity Type:Organization
Organization Name:VASCONI DRUGS
Other - Org Name:VASCONI DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HAP
Authorized Official - Middle Name:
Authorized Official - Last Name:VASCONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-963-1444
Mailing Address - Street 1:1381 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1904
Mailing Address - Country:US
Mailing Address - Phone:707-963-1444
Mailing Address - Fax:707-963-8448
Practice Address - Street 1:1381 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1904
Practice Address - Country:US
Practice Address - Phone:707-963-1444
Practice Address - Fax:707-963-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY381783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0548327OtherNCPDP PROVIDER IDENTIFICATION NUMBER