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VANESSA ANN MARIE RITA PITTS RPH

Community/Retail Pharmacy >> Pharmacy >> Suppliers

Registrant NPI Number: 1922608454

Individual Registrant:
 VANESSA ANN MARIE RITA PITTS RPH
Gender: F
Sole Proprietor

Location and contact information for practice:
26365 BUCCANEER LN  HELENDALE, CA 92342-7739 US
Tel: 760-987-0936  Fax: --

Contact information for business:
PO BOX 2424  HELENDALE, CA 92342-2424 US
Tel: 760-987-0936  Fax: --

Registration Information:
NPI: 1922608454
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
CA83088

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DRIVER LICENSEY5174255CA01




HEALTH CARE JOBS CA - Page 1



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