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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225082472 | NPPES |
| Other | 2115610 | PK | |
| MEDICAID | PHA3204424 | PK |
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