Gordon'S Fairview Pharmacy

LBN: Gordon'S Fairview Pharmacy
Gordon'S Fairview Pharmacy is an health care organization with primary practice located at 2600 Walnut Ave Unit F , Tustin CA 92780-7032. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Gordon'S Fairview Pharmacy can be contacted via phone (714) 389-4826, or through Tran, Sau Van via phone (714) 389-4826.

Contact Information

Primary practice address
2600 Walnut Ave Unit F Tustin CA 92780-7032
Phone: (714) 389-4826
Fax: (714) 389-4821
Website:
Map and Directions
Authorized official contact:
Name: Tran, Sau Van RPH
Phone: (714) 389-4826

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY46099 California

Profile Details

NPI number 1558418152
LBN Legal business name Gordon'S Fairview Pharmacy
DBA Doing business as
Authorized official Tran, Sau Van RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 7th, 2023 - about last year

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 1558418152 NPPES
California Other PHY46099 PHARMACY LICENSE
California Other 0525494 PHARMACY LICENSE
California MEDICAID 1558418152 PHARMACY LICENSE
California MEDICAID PHA460990 PHARMACY LICENSE

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