Forty Nine Drug Co.

LBN: Donald Wayne Smith
Forty Nine Drug Co. is an health care organization with primary practice located at 937 N Yosemite St , Stockton CA 95203-2216. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Donald Wayne Smith can be contacted via phone (209) 465-2671, or through Smith, Donald Wayne via phone (209) 465-2671.

Contact Information

Primary practice address
937 N Yosemite St Stockton CA 95203-2216
Phone: (209) 465-2671
Fax: (209) 465-6831
Website:
Map and Directions
Authorized official contact:
Name: Smith, Donald Wayne RPH
Phone: (209) 465-2671

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY43499 California

Profile Details

NPI number 1891737193
LBN Legal business name Donald Wayne Smith
DBA Doing business as Forty Nine Drug Co.
Authorized official Smith, Donald Wayne RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 21st, 2008 - about 16 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 1891737193 NPPES
California Other PHY43499 STATE LICENSE #
California MEDICAID PHA434990 STATE LICENSE #
California Other 0579283 STATE LICENSE #

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