Brand New Pharmacy Inc

LBN: Brand New Pharmacy Inc
Brand New Pharmacy Inc is an health care organization with primary practice located at 1819 W Redlands Blvd Ste 101 , Redlands CA 92373-3121. 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. Brand New Pharmacy Inc can be contacted via phone (909) 335-5400, or through Gerges, Shams H via phone (909) 335-5400.

Contact Information

Primary practice address
1819 W Redlands Blvd Ste 101 Redlands CA 92373-3121
Phone: (909) 335-5400
Fax: (909) 335-9300
Website:
Map and Directions
Authorized official contact:
Name: Gerges, Shams H OWNER
Phone: (909) 335-5400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY52439 California

Profile Details

NPI number 1356732135
LBN Legal business name Brand New Pharmacy Inc
DBA Doing business as Brand New Pharmacy Inc
Authorized official Gerges, Shams H OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2015
Last updated Mar 4th, 2021 - about 3 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 1356732135 NPPES
California MEDICAID PHA52439
California Other 2150391

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