Organization · Type 2 NPI

Vons Companies Inc

Community/Retail Pharmacy · La Mesa, CA

NPI number 1174569784 Active

Practice location

8011 University Ave
La Mesa, CA 91942-5520

Call (619) 464-1102 Map

Fax (619) 464-1032

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	PHY52197 (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 …

5 other providers at this address

Other community/retail pharmacy providers in La Mesa

See all in La Mesa →

NPI record

NPI: 1174569784
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Jul 19, 2018
Status: Active

Other names

<unavail>
Vons Pharmacy #2093 · doing business as
Vons Pharmacy #2093 · 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.

Is this your record? How to update it.

About NPI 1174569784

Vons Companies Inc's National Provider Identifier is 1174569784, issued on Jun 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in La Mesa, CA. The record was last updated on Jul 19, 2018.