Healthcare Pharmacy

LBN: Amena Pharmacy Corp
Healthcare Pharmacy is an health care organization with primary practice located at 14642 Newport Ave , Tustin CA 92780-6057. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Amena Pharmacy Corp can be contacted via phone (714) 669-4000, or through Entezar, Fareed via phone (714) 669-4000.

Contact Information

Primary practice address
14642 Newport Ave Tustin CA 92780-6057
Phone: (714) 669-4000
Fax: (714) 669-4484
Website:
Map and Directions
Authorized official contact:
Name: Entezar, Fareed PHARMD
Phone: (714) 669-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY55952 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1679613111
LBN Legal business name Amena Pharmacy Corp
DBA Doing business as Healthcare Pharmacy
Authorized official Entezar, Fareed PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 19th, 2018 - about 6 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 1679613111 NPPES
Other 1999991 PK

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