Colonial Pharmacy

LBN: Colonial Pharmacy Inc
Colonial Pharmacy is an health care organization with primary practice located at 1326 S Baldwin Ave , Arcadia CA 91007-7512. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Colonial Pharmacy Inc can be contacted via phone (626) 447-3591, or through Burstyn, Mark via phone (626) 447-3591.

Contact Information

Primary practice address
1326 S Baldwin Ave Arcadia CA 91007-7512
Phone: (626) 447-3591
Fax: (626) 447-4679
Website:
Map and Directions
Authorized official contact:
Name: Burstyn, Mark
Phone: (626) 447-3591

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 44156 California

Profile Details

NPI number 1578749941
LBN Legal business name Colonial Pharmacy Inc
DBA Doing business as Colonial Pharmacy
Authorized official Burstyn, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Jun 9th, 2010 - about 15 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 1578749941 NPPES
California MEDICAID PHA441560
California Other 5636456

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