The Druggist #3

LBN: Brookhurst Drug Inc Terry Bottorff Pres
The Druggist #3 is an health care organization with primary practice located at 21421 Brookhurst St , Huntington Beach CA 92646-7354. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Brookhurst Drug Inc Terry Bottorff Pres can be contacted via phone (714) 963-4552, or through Bottorff, Terry M via phone (714) 963-5512.

Contact Information

Primary practice address
21421 Brookhurst St Huntington Beach CA 92646-7354
Phone: (714) 963-4552
Fax: (714) 963-1705
Website:
Map and Directions
Authorized official contact:
Name: Bottorff, Terry M RPH
Phone: (714) 963-5512

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY34032 California

Profile Details

NPI number 1063457638
LBN Legal business name Brookhurst Drug Inc Terry Bottorff Pres
DBA Doing business as The Druggist #3
Authorized official Bottorff, Terry M RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 30th, 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 1063457638 NPPES
California MEDICAID PHA169070

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