<Unavail>

LBN: Vista Care Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 12351 Mariposa Rd # 11 , Victorville CA 92395-6013. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Vista Care Pharmacy Inc can be contacted via phone (760) 843-7000, or through Rao, Amir A via phone (760) 843-7000.

Contact Information

Primary practice address
12351 Mariposa Rd # 11 Victorville CA 92395-6013
Phone: (760) 843-7000
Fax: (760) 843-7900
Website:
Map and Directions
Authorized official contact:
Name: Rao, Amir A
Phone: (760) 843-7000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 53478 California

Profile Details

NPI number 1174990030
LBN Legal business name Vista Care Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Rao, Amir A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174990030 NPPES
California Other PHY 53478 BOARD OF PHARMACY LICENSE

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