Fruitvale Avenue Pharmacy Inc

LBN: Fruitvale Avenue Pharmacy Inc
Fruitvale Avenue Pharmacy Inc is an health care organization with primary practice located at 2693 Fruitvale Ave , Oakland CA 94601-2034. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fruitvale Avenue Pharmacy Inc can be contacted via phone (510) 261-1412, or through Patel, Kalpesh via phone (510) 406-3089.

Contact Information

Primary practice address
2693 Fruitvale Ave Oakland CA 94601-2034
Phone: (510) 261-1412
Fax: (510) 261-1414
Website:
Map and Directions
Authorized official contact:
Name: Patel, Kalpesh RPH
Phone: (510) 406-3089

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 50064 California
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1619203841
LBN Legal business name Fruitvale Avenue Pharmacy Inc
DBA Doing business as Fruitvale Avenue Pharmacy Inc
Authorized official Patel, Kalpesh RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2009
Last updated Jul 17th, 2015 - about 9 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 1619203841 NPPES
Other 2122526 PK

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