986 Pharmacy #8015

LBN: Athena Pharmacy Inc
986 Pharmacy #8015 is an health care organization with primary practice located at 14332 Ramona Blvd. , Baldwin Park CA 91706-3241. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Athena Pharmacy Inc can be contacted via phone (626) 337-1510, or through Martinez, Olivia T via phone (626) 337-1510.

Contact Information

Primary practice address
14332 Ramona Blvd. Baldwin Park CA 91706-3241
Fax: (626) 337-1540
Website:
Authorized official contact:
Name: Martinez, Olivia T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609938331
LBN Legal business name Athena Pharmacy Inc
DBA Doing business as 986 Pharmacy #8015
Authorized official Martinez, Olivia T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2006
Last updated Aug 22nd, 2023 - about last year

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 1609938331 NPPES
California Other 59003 CA BOP

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