Guadalupe Pharmacy

LBN: Alexander Irvine
Guadalupe Pharmacy is an health care organization with primary practice located at 4581 10Th St Ste A, Guadalupe CA 93434-1454. 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. Alexander Irvine can be contacted via phone (805) 343-2290, or through Irvine, Alex via phone (805) 343-2290.

Contact Information

Primary practice address
4581 10Th St Ste A Guadalupe CA 93434-1454
Phone: (805) 343-2290
Fax: (805) 343-0761
Website:
Map and Directions
Authorized official contact:
Name: Irvine, Alex
Phone: (805) 343-2290

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY21220 California

Profile Details

NPI number 1821153248
LBN Legal business name Alexander Irvine
DBA Doing business as Guadalupe Pharmacy
Authorized official Irvine, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Mar 20th, 2012 - about 12 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 1821153248 NPPES
Other 0533489 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA21220 NCPDP PROVIDER IDENTIFICATION NUMBER

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