Damerons Linacia Pharmacy
LBN: Dameron Hospital Association
Damerons Linacia Pharmacy is an health care organization with primary practice located at 420 W Acacia St , Stockton CA 95203-2441. 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.
Dameron Hospital Association can be contacted via phone (209) 466-2954, or through Glasberg, Michael via phone (209) 944-5550.
Contact Information
Primary practice address
420 W Acacia St
Stockton CA 95203-2441
Phone: (209) 466-2954
Fax: (209) 466-1558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY39485 | California |
Profile Details
| NPI number | 1073663431 |
|---|---|
| LBN Legal business name | Dameron Hospital Association |
| DBA Doing business as | Damerons Linacia Pharmacy |
| Authorized official | Glasberg, Michael B.S. PHARM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Sep 29th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073663431 | NPPES |
| California | MEDICAID | PHA 394850 | |
| California | Other | 2077836 |
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