Organization · Type 2 NPI

Vons Companies Inc

Community/Retail Pharmacy · Brawley, CA

NPI number 1134158181 Active

Practice location

475 W Main St
Brawley, CA 92227-2244

Call (760) 351-3007 Map

Fax (760) 351-3012

Mailing address

250 E Parkcenter Blvd, Mailstop Sec 2-B
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY52296 (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 …

2 other providers at this address

Other community/retail pharmacy providers in Brawley

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NPI record

NPI: 1134158181
Entity type: Organization (Type 2)
Issued: Jul 2, 2006
Last updated: Jul 19, 2018
Status: Active

Other names

<unavail>
Vons Pharmacy #1767 · doing business as
Vons Pharmacy #1767 · doing business as

Authorized official

Demond Hawkins, CPHT MBA
Third Party Manager
(208) 395-3905

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134158181

Vons Companies Inc's National Provider Identifier is 1134158181, issued on Jul 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Brawley, CA. The record was last updated on Jul 19, 2018.