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Vine Discount Pharmacy & Medical Supply
Specialty Pharmacy in Los Angeles, California
NPI 1023011053

Vine Discount Pharmacy & Medical Supply is a Specialty Pharmacy based in Los Angeles, CA and is specialized in Specialty Pharmacy. Vine Discount Pharmacy & Medical Supply practices in Los Angeles, CA. The NPI Number for Vine Discount Pharmacy & Medical Supply is 1023011053 and holds a License No. PHY46506 (California).

The current practice location address for Vine Discount Pharmacy & Medical Supply is 1253 N Vine St, Los Angeles, CA and can be reached out via phone at 323-957-9446 and via fax at 323-957-9846.

Location: 1253 N Vine St, Los Angeles, CA, 90038-1662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023011053
Provider Name
Vine Discount Pharmacy & Medical Supply
Credential
Provider Entity Type
Organization
Address
1253 N Vine St, Los Angeles, CA, 90038-1662
Phone Number
323-957-9446
Fax Number
323-957-9846
Provider Enumeration Date
05/23/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
54097 01 CA PHARMACIST-IN-CHARGE LIC#
PHA465060 05 CA
5607489 01 CA NCPDP
PHY46506 01 CA SITE PERMIT
institution
Provider Business Practice Location Address Details
Address
1253 N Vine St
City
Los Angeles
State
California
Zip
90038-1662
Phone Number
323-957-9446
Fax Number
323-957-9846
person
Provider Business Mailing Address Details
Address
1253 N Vine St
City
Los Angeles
State
California
Zip
90038-1662
Phone Number
323-957-9446
Fax Number
323-957-9846
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
46506 (California)
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
PHY46506 (California)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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