Boyle Heights Rx Inc

LBN: Boyle Heights Rx Inc
Boyle Heights Rx Inc is an health care organization with primary practice located at 1611 E Cesar E Chavez Ave , Los Angeles CA 90033-2411. 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. Boyle Heights Rx Inc can be contacted via phone (323) 222-0736, or through Francisco, Judith S via phone (951) 378-6444.

Contact Information

Primary practice address
1611 E Cesar E Chavez Ave Los Angeles CA 90033-2411
Fax: (323) 222-1209
Website:
Authorized official contact:
Name: Francisco, Judith S

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY49279 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 49279 California
Suppliers / Long Term Care Pharmacy 3336L0003X PHY49279 California

Profile Details

NPI number 1124287024
LBN Legal business name Boyle Heights Rx Inc
DBA Doing business as
Authorized official Francisco, Judith S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Mar 7th, 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 1124287024 NPPES
California Other 05-35267 NCPDP NUMBER
California MEDICAID CB276893 NCPDP NUMBER
California MEDICAID PHA402710/1407057474 NCPDP NUMBER

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