Coles Care Pharmacy

LBN: Coles Care Pharmacy
Coles Care Pharmacy is an health care organization with primary practice located at 16854 Ivy Ave Suite C, Fontana CA 92335-1504. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Coles Care Pharmacy can be contacted via phone (909) 356-0110, or through Cole, Misty Laree via phone (909) 356-0110.

Contact Information

Primary practice address
16854 Ivy Ave Suite C Fontana CA 92335-1504
Phone: (909) 356-0110
Fax: (909) 356-1024
Website:
Map and Directions
Authorized official contact:
Name: Cole, Misty Laree RPH
Phone: (909) 356-0110

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY352970 California

Profile Details

NPI number 1639348964
LBN Legal business name Coles Care Pharmacy
DBA Doing business as Coles Care Pharmacy
Authorized official Cole, Misty Laree RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2008
Last updated Aug 8th, 2013 - about 11 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 1639348964 NPPES
California Other 0596354 NABP NUMBER
California MEDICAID PHA352970 NABP NUMBER

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