Hunnell'S Medical Arts Pharmacy

LBN: Hunnell'S Medical Arts Pharmacy
Hunnell'S Medical Arts Pharmacy is an health care organization with primary practice located at 1121 W Vine St , Lodi CA 95240-5137. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hunnell'S Medical Arts Pharmacy can be contacted via phone (209) 369-3551, or through Wilcox, Douglas K via phone (209) 369-3551.

Contact Information

Primary practice address
1121 W Vine St Lodi CA 95240-5137
Fax: (209) 369-0225
Website:
Authorized official contact:
Name: Wilcox, Douglas K PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY40288 California

Profile Details

NPI number 1659467561
LBN Legal business name Hunnell'S Medical Arts Pharmacy
DBA Doing business as
Authorized official Wilcox, Douglas K PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Jun 8th, 2010 - about 14 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 1659467561 NPPES
California MEDICAID PHA402880
California Other 0587141

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