Farmacia Del Pueblo

LBN: Farmacia Del Pueblo Inc
Farmacia Del Pueblo is an health care organization with primary practice located at 2123 Civic Center Dr , North Las Vegas NV 89030-6327. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Farmacia Del Pueblo Inc can be contacted via phone (702) 399-9477, or through Tyler, Christopher via phone (702) 544-3998.

Contact Information

Primary practice address
2123 Civic Center Dr North Las Vegas NV 89030-6327
Fax: (702) 399-7570
Website:
Authorized official contact:
Name: Tyler, Christopher PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH02238 Nevada
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1083807069
LBN Legal business name Farmacia Del Pueblo Inc
DBA Doing business as Farmacia Del Pueblo
Authorized official Tyler, Christopher PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated May 22nd, 2012 - about 12 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 1083807069 NPPES
Other 2990629 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100512761 NCPDP PROVIDER IDENTIFICATION NUMBER

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