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
Phone: (702) 399-9477
Fax: (702) 399-7570
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083807069 | NPPES |
| Other | 2990629 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 100512761 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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