Organization · Type 2 NPI

Vine Discount Pharmacy & Medical Supply

Long Term Care Pharmacy · Los Angeles, CA

NPI number 1720875800 Active

Practice location

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

Fax (323) 957-9846

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Lusi AkopyanPharmacist Los Angeles, CA NPI 1699148288

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NPI record

NPI: 1720875800
Entity type: Organization (Type 2)
Issued: Apr 22, 2025
Last updated: Apr 22, 2025
Status: Active
Subpart: Yes of Vine Discount Pharmacy & Medical Supply

Other names

Vine Discount Pharmacy & Medical Supply, LTC · doing business as

Authorized official

Roseanne Ruzanna Papoyan, PharmD
President
(323) 957-9446

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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 1720875800

Vine Discount Pharmacy & Medical Supply's National Provider Identifier is 1720875800, issued on Apr 22, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 22, 2025.