Raul's Vineland Pharmacy

NPI #1902893852 in North Hollywood, California

Provider Information

NPI Number: 1902893852
Entity Type: Organization
Organization Name: Raul's Vineland Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Oct 4, 2005
Last Updated: Jun 16, 2008

Practice Location

Address: 11717 SATICOY ST
City: North Hollywood
State: California
ZIP Code: 91605-2833
Phone: (818) 982-7825

Authorized Official

Name: MR. RAUL ANTONIO MERCURIO, ETC
Title: OWNER
Phone: (818) 982-7825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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