Beverly Professional Pharmacy

LBN: Beverly Professional Pharmacy
Beverly Professional Pharmacy is an health care organization with primary practice located at 433 N 4Th St Ste 100 , Montebello CA 90640-4313. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Beverly Professional Pharmacy can be contacted via phone (323) 728-0248, or through Patel, Mahesh via phone (323) 728-0248.

Contact Information

Primary practice address
433 N 4Th St Ste 100 Montebello CA 90640-4313
Fax: (323) 728-9099
Website:
Authorized official contact:
Name: Patel, Mahesh

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY33172 California

Profile Details

NPI number 1598877581
LBN Legal business name Beverly Professional Pharmacy
DBA Doing business as
Authorized official Patel, Mahesh
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 9th, 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 1598877581 NPPES
Other 2066032 PK
MEDICAID PHA331720 PK

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