Carranza Pharmacy Modesto

LBN: Carranza Pharmacy Inc
Carranza Pharmacy Modesto is an health care organization with primary practice located at 1739 Crows Landing Rd Ste A , Modesto CA 95358-5605. 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. Carranza Pharmacy Inc can be contacted via phone (209) 538-2971, or through Carranza, Jose via phone (209) 538-2971.

Contact Information

Primary practice address
1739 Crows Landing Rd Ste A Modesto CA 95358-5605
Fax: (209) 538-1325
Website:
Authorized official contact:
Name: Carranza, Jose RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY50834 California

Profile Details

NPI number 1992848055
LBN Legal business name Carranza Pharmacy Inc
DBA Doing business as Carranza Pharmacy Modesto
Authorized official Carranza, Jose RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 19th, 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 1992848055 NPPES
Other 1999058 PK
MEDICAID PHA344540 PK

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