Elk Grove Pharmacy Inc

LBN: Elk Grove Pharmacy Inc
Elk Grove Pharmacy Inc is an health care organization with primary practice located at 8470 Elk Grove Blvd Ste 150 , Elk Grove CA 95758-5925. 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. Elk Grove Pharmacy Inc can be contacted via phone (408) 239-9622, or through Hoang, Brian via phone (408) 239-9622.

Contact Information

Primary practice address
8470 Elk Grove Blvd Ste 150 Elk Grove CA 95758-5925
Phone: (408) 239-9622
Fax: (916) 896-5194
Website:
Map and Directions
Authorized official contact:
Name: Hoang, Brian
Phone: (408) 239-9622

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 55264 California

Profile Details

NPI number 1679016018
LBN Legal business name Elk Grove Pharmacy Inc
DBA Doing business as
Authorized official Hoang, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2016
Last updated Mar 21st, 2017 - about 8 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 1679016018 NPPES
Other 2166808 PK

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