Themedicinetray

LBN: Gomes Enterprises
Themedicinetray is an health care organization with primary practice located at 3101 Sunset Blvd Ste 2A , Rocklin CA 95677-3097. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Gomes Enterprises can be contacted via phone (916) 624-0570, or through Petralia, Chantell Lee via phone (888) 852-9373.

Contact Information

Primary practice address
3101 Sunset Blvd Ste 2A Rocklin CA 95677-3097
Phone: (916) 624-0570
Fax: (916) 624-0591
Website:
Map and Directions
Authorized official contact:
Name: Petralia, Chantell Lee OWNER
Phone: (888) 852-9373

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHY44817 California
Suppliers / Pharmacy 333600000X PHY44817 California

Profile Details

NPI number 1962515767
LBN Legal business name Gomes Enterprises
DBA Doing business as Themedicinetray
Authorized official Petralia, Chantell Lee OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 29th, 2008 - about 17 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 1962515767 NPPES
California MEDICAID PHA448170
California Other 0519073

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