Queens Pharmacy

LBN: Asr Health Inc.
Queens Pharmacy is an health care organization with primary practice located at 12677 Hesperia Road Suite 180, Victorville CA 92395. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Asr Health Inc. can be contacted via phone (760) 962-1200, or through Kandru, Srinivasa Rao via phone (760) 962-1200.

Contact Information

Primary practice address
12677 Hesperia Road Suite 180 Victorville CA 92395
Phone: (760) 962-1200
Fax: (760) 962-1222
Website:
Map and Directions
Authorized official contact:
Name: Kandru, Srinivasa Rao
Phone: (760) 962-1200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1801879291
LBN Legal business name Asr Health Inc.
DBA Doing business as Queens Pharmacy
Authorized official Kandru, Srinivasa Rao
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated Oct 27th, 2020 - about 4 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 1801879291 NPPES
California MEDICAID PHY57281

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