Abala Pharmacy

LBN: Abala Pharmacy
Abala Pharmacy is an health care organization with primary practice located at 550 W Eaton Ave Ste B , Tracy CA 95376-3462. 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. Abala Pharmacy can be contacted via phone (209) 832-7080, or through Abala, Shirlyn via phone (209) 832-7080.

Contact Information

Primary practice address
550 W Eaton Ave Ste B Tracy CA 95376-3462
Phone: (209) 832-7080
Fax: (209) 832-3889
Website:
Map and Directions
Authorized official contact:
Name: Abala, Shirlyn
Phone: (209) 832-7080

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46343 California

Profile Details

NPI number 1679638001
LBN Legal business name Abala Pharmacy
DBA Doing business as Abala Pharmacy
Authorized official Abala, Shirlyn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 19th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679638001 NPPES
California MEDICAID PHA463430
California MEDICAID PHA46343
California Other 2112189

Popular Providers