Healthcare Provider Details

I. General information

NPI: 1215747217
Provider Name (Legal Business Name): VSRX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 S A ST STE 2
OXNARD CA
93030-9254
US

IV. Provider business mailing address

905 S A ST STE 2
OXNARD CA
93030-9254
US

V. Phone/Fax

Practice location:
  • Phone: 805-366-0026
  • Fax: 805-366-0028
Mailing address:
  • Phone: 805-366-0026
  • Fax: 805-366-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VARDGES MKRTCHIAN
Title or Position: CFO/DIRECTOR
Credential: PHARM D
Phone: 805-366-0026