A Family Pharmacy Apple Valley
LBN: Afp Drug Store Inc
A Family Pharmacy Apple Valley is an health care organization with primary practice located at 15863 Kasota Rd Ste C, Apple Valley CA 92307-4507. 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.
Afp Drug Store Inc can be contacted via phone (760) 242-5452, or through Tekele, Thomas via phone (760) 242-5452.
Contact Information
Primary practice address
15863 Kasota Rd Ste C
Apple Valley CA 92307-4507
Phone: (760) 242-5452
Fax: (760) 242-8617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 51090 | California |
Profile Details
| NPI number | 1114037942 |
|---|---|
| LBN Legal business name | Afp Drug Store Inc |
| DBA Doing business as | A Family Pharmacy Apple Valley |
| Authorized official | Tekele, Thomas PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 18th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114037942 | NPPES |
| Other | 5613333 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA46639 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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