MEDICARE: VADEN CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PHA410140	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114927316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VADEN CORPORATION

Provider Business Mailing Address
First Line	:	911 E VALLEY PKWY
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-3428
Country	:	US
Telephone Number	:	760-741-2025
Fax Number	:	760-741-0584

Provider Business Practice Location Address
First Line	:	1838 S COAST HWY
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-5322
Country	:	US
Telephone Number	:	760-433-6232
Fax Number	:	760-433-8833

Authorized Official
Title or Position	:	C.F.O./SECRETARY
Name	:	WILLIAM FINDLEY
Credential	:
Telephone Number	:	760-741-2025

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	08/22/2020

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Directions to “VADEN CORPORATION ” Practice Location

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