A & G VITALIFE INC


Address: 7233 Corbin Ave, Winnetka, CA 91306-3006
Phone: 7472023638

A & G VITALIFE INC (NPI# 1982003190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982003190
Entity Type Organization
Organization Name A & G VITALIFE INC
Other Organization Name A & G CARE PHARMACY
Practice Address 7233 Corbin Ave
Winnetka
CA 91306-3006
Practice Telephone 7472023638
Practice Fax Number 7472023639
Mailing Telephone 7472023638
Mailing Fax Number 7472023639
Enumeration Date 2014-08-14
Last Update Date 2014-08-14
Authorized Official Name DR. GEVORK DANIELIAN (PRESIDENT/PIC)
Authorized Official Telephone 7472023638
Authorized Official Credential PHARM D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
CA Suppliers

Other Provider/Organization Names

Other Name Type Code
A & G CARE PHARMACY Doing Business As Name - Organization

Office Location

Street Address 7233 CORBIN AVE
City WINNETKA
State CA
Zip Code 91306-3006

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1104290485 Edmond Reyhani Pharmacist 20839 W Roscoe Blvd, Winnetka, CA 91306 2015-11-24
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1336578228 Charmaine Fermin Counselor 20225 Cohasset St, Winnetka, CA 91306 2013-11-01
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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Competitor

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City WINNETKA
Zip Code 91306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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