Jfk Medical Plaza Pharmacy

LBN: 4 M Pharmacy Inc
Jfk Medical Plaza Pharmacy is an health care organization with primary practice located at 41120 Washington St Ste 100, Bermuda Dunes CA 92203-9215. 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. 4 M Pharmacy Inc can be contacted via phone (760) 772-7300, or through Bodi, Manisha via phone (760) 772-7300.

Contact Information

Primary practice address
41120 Washington St Ste 100 Bermuda Dunes CA 92203-9215
Phone: (760) 772-7300
Fax: (760) 772-7303
Website:
Map and Directions
Authorized official contact:
Name: Bodi, Manisha
Phone: (760) 772-7300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48653 California

Profile Details

NPI number 1730226754
LBN Legal business name 4 M Pharmacy Inc
DBA Doing business as Jfk Medical Plaza Pharmacy
Authorized official Bodi, Manisha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Oct 22nd, 2010 - about 14 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 1730226754 NPPES
Other 0544052 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHY416810 NCPDP PROVIDER IDENTIFICATION NUMBER

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