VISTA COMMUNITY CLINIC NPI 1619107240

NPI Information

VISTA COMMUNITY CLINIC is a clinic pharmacy pharmacy in Vista, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. VISTA COMMUNITY CLINIC NPI is 1619107240. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Community Clinic.

The provider's business location address is:

134 GRAPEVINE RD
VISTA, CA
ZIP 92083-004
Phone: (760) 631-5030
Fax: (760) 414-3754

The provider's authorized official is Barbara Mannino .
The authorized official title is Ceo and has the following contact phone number (760) 631-5000.

The enumeration date for this NPI number is 7/16/2009 and was last updated on 3/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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