Anaheim Hills Medical Pharmacy

LBN: Anaheim Hills Medical Pharmacy
Anaheim Hills Medical Pharmacy is an health care organization with primary practice located at 500 S Anaheim Hills Rd Ste 100 Ste 100, Anaheim CA 92807-4761. 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. Anaheim Hills Medical Pharmacy can be contacted via phone (714) 279-1111, or through Rezaei, Mojgan via phone (714) 279-1111.

Contact Information

Primary practice address
500 S Anaheim Hills Rd Ste 100 Ste 100 Anaheim CA 92807-4761
Fax: (714) 279-1115
Website:
Authorized official contact:
Name: Rezaei, Mojgan PHARM.D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 43794 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1184639734
LBN Legal business name Anaheim Hills Medical Pharmacy
DBA Doing business as Anaheim Hills Medical Pharmacy
Authorized official Rezaei, Mojgan PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
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 1184639734 NPPES
California MEDICAID PHA43794
California Other 1991557

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