Fiesta Pharmacy,Inc

LBN: Fiesta Pharmacy,Inc
Fiesta Pharmacy,Inc is an health care organization with primary practice located at 2709 Westminster Ave Suite A2, Santa Ana CA 92706-2140. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Fiesta Pharmacy,Inc can be contacted via phone (714) 554-0997, or through Nguyen, Guy D. via phone (714) 554-0997.

Contact Information

Primary practice address
2709 Westminster Ave Suite A2 Santa Ana CA 92706-2140
Phone: (714) 554-0997
Fax: (714) 554-0998
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Guy D. RPH
Phone: (714) 554-0997

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY41512 California

Profile Details

NPI number 1861473878
LBN Legal business name Fiesta Pharmacy,Inc
DBA Doing business as
Authorized official Nguyen, Guy D. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861473878 NPPES
California MEDICAID PHA415120

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