Crocker Drug

LBN: Crocker Drug Inc
Crocker Drug is an health care organization with primary practice located at 502 Euclid Ave Ste 100, National City CA 91950-2994. 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. Crocker Drug Inc can be contacted via phone (619) 267-8159, or through Crocker, Fern via phone (619) 670-2316.

Contact Information

Primary practice address
502 Euclid Ave Ste 100 National City CA 91950-2994
Phone: (619) 267-8159
Fax: (619) 267-8167
Website:
Map and Directions
Authorized official contact:
Name: Crocker, Fern
Phone: (619) 670-2316

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 20049 California

Profile Details

NPI number 1912028465
LBN Legal business name Crocker Drug Inc
DBA Doing business as Crocker Drug
Authorized official Crocker, Fern
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 10th, 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 1912028465 NPPES
Other 0538528 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA200490 NCPDP PROVIDER IDENTIFICATION NUMBER

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