Supermarket Pharmacy And Health Care Center

LBN: Ciroca Corp.
Supermarket Pharmacy And Health Care Center is an health care organization with primary practice located at 13624 Hawthorne Blvd Suite 102, Hawthorne CA 90250-5818. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Ciroca Corp. can be contacted via phone (310) 679-9844, or through De La Rosa, Jairo via phone (310) 679-9844.

Contact Information

Primary practice address
13624 Hawthorne Blvd Suite 102 Hawthorne CA 90250-5818
Phone: (310) 679-9844
Fax: (310) 679-7964
Website:
Map and Directions
Authorized official contact:
Name: De La Rosa, Jairo
Phone: (310) 679-9844

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY46241 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHY46241 California
Suppliers / Oxygen Equipment & Supplies 332BX2000X PHY46241 California
Suppliers / Pharmacy 333600000X PHY46241 California

Profile Details

NPI number 1366443103
LBN Legal business name Ciroca Corp.
DBA Doing business as Supermarket Pharmacy And Health Care Center
Authorized official De La Rosa, Jairo
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated Aug 22nd, 2020 - about 4 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 1366443103 NPPES
California Other 0578875 NABP
California MEDICAID PHA462410 NABP

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