John George Psychiatric Pavillion Pharmacy

LBN: Alameda Health System
John George Psychiatric Pavillion Pharmacy is an health care organization with primary practice located at 2060 Fairmont Dr , San Leandro CA 94578-1001. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Alameda Health System can be contacted via phone (510) 346-1454, or through Yasavolian, Martha via phone (510) 437-5055.

Contact Information

Primary practice address
2060 Fairmont Dr San Leandro CA 94578-1001
Phone: (510) 346-1454
Fax: (510) 614-9516
Website:
Map and Directions
Authorized official contact:
Name: Yasavolian, Martha
Phone: (510) 437-5055

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X HPE37659 California

Profile Details

NPI number 1114083482
LBN Legal business name Alameda Health System
DBA Doing business as John George Psychiatric Pavillion Pharmacy
Authorized official Yasavolian, Martha
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Sep 13th, 2016 - about 8 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 1114083482 NPPES
Other 2043541 PK
MEDICAID PHB356020 PK

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