Anaheim Medical Plaza Pharmacy

LBN: Anaheim Plaza Pharmacy Inc
Anaheim Medical Plaza Pharmacy is an health care organization with primary practice located at 184 E Liberty Ave , Anaheim CA 92801-1011. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Anaheim Plaza Pharmacy Inc can be contacted via phone (714) 220-0720, or through Lew, Shannon via phone (714) 220-0720.

Contact Information

Primary practice address
184 E Liberty Ave Anaheim CA 92801-1011
Fax: (714) 525-4100
Website:
Authorized official contact:
Name: Lew, Shannon

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 52498 California

Profile Details

NPI number 1306905401
LBN Legal business name Anaheim Plaza Pharmacy Inc
DBA Doing business as Anaheim Medical Plaza Pharmacy
Authorized official Lew, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 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 1306905401 NPPES
California MEDICAID 1306905401
California Other 2003108

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