Fifth Street Pharmacy

LBN: Hutchison Pharmacies Inc
Fifth Street Pharmacy is an health care organization with primary practice located at 1839 S El Dorado St , Stockton CA 95206-2025. 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. Hutchison Pharmacies Inc can be contacted via phone (209) 466-2439, or through Hutchison, Loyal via phone (209) 446-2439.

Contact Information

Primary practice address
1839 S El Dorado St Stockton CA 95206-2025
Phone: (209) 466-2439
Fax: (209) 466-7204
Website:
Map and Directions
Authorized official contact:
Name: Hutchison, Loyal
Phone: (209) 446-2439

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY21900 California

Profile Details

NPI number 1164429700
LBN Legal business name Hutchison Pharmacies Inc
DBA Doing business as Fifth Street Pharmacy
Authorized official Hutchison, Loyal
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated May 4th, 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 1164429700 NPPES
California MEDICAID PHY21900
California Other 0548339

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