Organization · Type 2 NPI

Vons Companies Inc

Community/Retail Pharmacy · San Luis Obispo, CA

NPI number 1790714731 Active

Practice location

3900 Broad St
San Luis Obispo, CA 93401-7015

Call (805) 541-1132 Map

Fax (805) 543-7469

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	PHY52131 (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 …

6 other providers at this address

Other community/retail pharmacy providers in San Luis Obispo

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NPI record

NPI: 1790714731
Entity type: Organization (Type 2)
Issued: Jul 2, 2006
Last updated: Nov 1, 2018
Status: Active

Other names

<unavail>
Vons Pharmacy #2306 · doing business as
Vons Pharmacy #2306 · doing business as

Authorized official

Tiffany Eliopulos
Assistant Manager, Enrollments
(208) 395-3906

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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 1790714731

Vons Companies Inc's National Provider Identifier is 1790714731, issued on Jul 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Luis Obispo, CA. The record was last updated on Nov 1, 2018.