Dominguez Pharmacy
LBN: Dominguez Pharmacy Lp
Dominguez Pharmacy is an health care organization with primary practice located at 31739 Riverside Dr , Lake Elsinore CA 92530-7818. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dominguez Pharmacy Lp can be contacted via phone (951) 674-4600, or through Dominguez, Andres via phone (951) 943-8188.
Contact Information
Primary practice address
31739 Riverside Dr
Lake Elsinore CA 92530-7818
Phone: (951) 674-4600
Fax: (951) 674-4660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 49914 | California |
Profile Details
| NPI number | 1336373646 |
|---|---|
| LBN Legal business name | Dominguez Pharmacy Lp |
| DBA Doing business as | Dominguez Pharmacy |
| Authorized official | Dominguez, Andres |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2009 |
| Last updated | Dec 3rd, 2010 - about 14 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 | 1336373646 | NPPES |
| California | MEDICAID | 1336373646 | |
| California | Other | 5634387 |
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