Abc Pharmacy

LBN: Abc Pharmacy
Abc Pharmacy is an health care organization with primary practice located at 7974 Haven Ave 120, Rancho Cucamonga CA 91730-3052. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Abc Pharmacy can be contacted via phone (877) 222-4598, or through Chan, Jonathan Michael via phone (909) 285-1118.

Contact Information

Primary practice address
7974 Haven Ave 120 Rancho Cucamonga CA 91730-3052
Phone: (877) 222-4598
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chan, Jonathan Michael PHARMD
Phone: (909) 285-1118

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X 63648 California
Suppliers / Mail Order Pharmacy 3336M0002X 006449 Arizona
Suppliers / Mail Order Pharmacy 3336M0002X 03414 Nevada

Profile Details

NPI number 1871967315
LBN Legal business name Abc Pharmacy
DBA Doing business as
Authorized official Chan, Jonathan Michael PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2015
Last updated Nov 20th, 2015 - about 9 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 1871967315 NPPES
California MEDICAID 1245676618

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