Bonita Pharmacy

LBN: Bonita Pharmacy Inc
Bonita Pharmacy is an health care organization with primary practice located at 4190 Bonita Rd Ste 101, Bonita CA 91902-1329. 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. Bonita Pharmacy Inc can be contacted via phone (619) 475-4112, or through Yep, Frank via phone (619) 475-4112.

Contact Information

Primary practice address
4190 Bonita Rd Ste 101 Bonita CA 91902-1329
Phone: (619) 475-4112
Fax: (619) 475-4113
Website:
Map and Directions
Authorized official contact:
Name: Yep, Frank RPH
Phone: (619) 475-4112

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY21603 California

Profile Details

NPI number 1730286576
LBN Legal business name Bonita Pharmacy Inc
DBA Doing business as Bonita Pharmacy
Authorized official Yep, Frank RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 4th, 2009 - about 15 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 1730286576 NPPES
Other 0529428 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA216030 NCPDP PROVIDER IDENTIFICATION NUMBER

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