1560 Pharmacy

LBN: 1560 Pharmacy
1560 Pharmacy is an health care organization with primary practice located at 1560 E Chevy Chase Dr Ste 110, Glendale CA 91206-4197. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 1560 Pharmacy can be contacted via phone (818) 240-4971, or through Miller, Michael via phone (818) 240-4971.

Contact Information

Primary practice address
1560 E Chevy Chase Dr Ste 110 Glendale CA 91206-4197
Phone: (818) 240-4971
Fax: (818) 240-0536
Website:
Map and Directions
Authorized official contact:
Name: Miller, Michael
Phone: (818) 240-4971

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY35652 California

Profile Details

NPI number 1427069913
LBN Legal business name 1560 Pharmacy
DBA Doing business as 1560 Pharmacy
Authorized official Miller, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 28th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427069913 NPPES
Other 2000214 PK
MEDICAID PHA35652 PK

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