Grant Line Pharmacy

LBN: Grant Line Pharmacy Inc
Grant Line Pharmacy is an health care organization with primary practice located at 2160 W Grant Line Rd Ste 205, Tracy CA 95377-7330. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Grant Line Pharmacy Inc can be contacted via phone (209) 832-2999, or through Tran, Beatle via phone (209) 832-2999.

Contact Information

Primary practice address
2160 W Grant Line Rd Ste 205 Tracy CA 95377-7330
Phone: (209) 832-2999
Fax: (209) 221-0909
Website:
Map and Directions
Authorized official contact:
Name: Tran, Beatle PHARMD
Phone: (209) 832-2999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48989 California

Profile Details

NPI number 1386816205
LBN Legal business name Grant Line Pharmacy Inc
DBA Doing business as Grant Line Pharmacy
Authorized official Tran, Beatle PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2008
Last updated Jul 19th, 2018 - about 7 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 1386816205 NPPES
Other 2113308 PK
MEDICAID 1386816205 PK

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