Anderson Pharmacy
LBN: Draggon Drug Inc
Anderson Pharmacy is an health care organization with primary practice located at 1377 Diamond Dr , Los Alamos NM 87544-2218. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Draggon Drug Inc can be contacted via phone (505) 662-6189, or through Anderson, George via phone (505) 662-6189.
Contact Information
Primary practice address
1377 Diamond Dr
Los Alamos NM 87544-2218
Phone: (505) 662-6189
Fax: (505) 662-3171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PH00001162 | New Mexico |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1295847200 |
|---|---|
| LBN Legal business name | Draggon Drug Inc |
| DBA Doing business as | Anderson Pharmacy |
| Authorized official | Anderson, George |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1295847200 | NPPES |
| Other | 3202823 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 56123 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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