Robert Oliva
LBN: Foothill Pharmacy
Robert Oliva is an health care organization with primary practice located at 1850 N Riverside Ave Suite 170, Rialto CA 92376-8071. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Foothill Pharmacy can be contacted via phone (909) 874-2385, or through Oliva, Robert via phone (909) 874-2385.
Contact Information
Primary practice address
1850 N Riverside Ave Suite 170
Rialto CA 92376-8071
Phone: (909) 874-2385
Fax: (909) 874-2428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY45239 | California |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1982615514 |
|---|---|
| LBN Legal business name | Foothill Pharmacy |
| DBA Doing business as | Robert Oliva |
| Authorized official | Oliva, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Feb 22nd, 2011 - about 13 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 | 1982615514 | NPPES |
| California | MEDICAID | PHA392680 | |
| California | Other | 0538845 |
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