Organization · Type 2 NPI

Vine Discount Pharmacy & Medical Supply

Community/Retail Pharmacy · Los Angeles, CA

NPI number 1023011053 Active

Practice location

1253 N Vine St, Ste 11
Los Angeles, CA 90038-1662

Fax (323) 957-9846

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY46506 (CA)
Specialty Pharmacy	3336S0011X	46506 (CA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1023011053

Vine Discount Pharmacy & Medical Supply's National Provider Identifier is 1023011053, issued on May 23, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 22, 2025.