Healthcare Provider Details

I. General information

NPI: 1013919687
Provider Name (Legal Business Name): VIHA PHARMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 E MISSION BLVD STE A
POMONA CA
91766-2040
US

IV. Provider business mailing address

716 E MISSION BLVD STE A
POMONA CA
91766-2040
US

V. Phone/Fax

Practice location:
  • Phone: 909-865-1149
  • Fax: 909-622-3412
Mailing address:
  • Phone: 909-865-1149
  • Fax: 909-622-3412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAHESHKUMAR KANERIA
Title or Position: OWNER
Credential: RPH
Phone: 909-865-1149