Alvarado Medical Plaza Pharmacy

LBN: Alvarado Medical Plaza Pharmacy
Alvarado Medical Plaza Pharmacy is an health care organization with primary practice located at 5555 Reservoir Dr Ste 114 , San Diego CA 92120-5197. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Alvarado Medical Plaza Pharmacy can be contacted via phone (619) 287-5035, or through Burdine, Bill via phone (619) 287-5035.

Contact Information

Primary practice address
5555 Reservoir Dr Ste 114 San Diego CA 92120-5197
Phone: (619) 287-5035
Fax: (619) 287-5098
Website:
Map and Directions
Authorized official contact:
Name: Burdine, Bill BS
Phone: (619) 287-5035

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY38199 California
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1225082472
LBN Legal business name Alvarado Medical Plaza Pharmacy
DBA Doing business as Alvarado Medical Plaza Pharmacy
Authorized official Burdine, Bill BS
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Dec 17th, 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 1225082472 NPPES
Other 2115610 PK
MEDICAID PHA3204424 PK

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