Haugen'S Ideal Pharmacy

LBN: Ideal Pharm
Haugen'S Ideal Pharmacy is an health care organization with primary practice located at 1155 N Central Ave , Glendale CA 91202-2562. 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. Ideal Pharm can be contacted via phone (818) 246-1739, or through Gulvartian, Lucy via phone (818) 246-1739.

Contact Information

Primary practice address
1155 N Central Ave Glendale CA 91202-2562
Phone: (818) 246-1739
Fax: (818) 246-1495
Website:
Map and Directions
Authorized official contact:
Name: Gulvartian, Lucy
Phone: (818) 246-1739

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 54483 California

Profile Details

NPI number 1023145869
LBN Legal business name Ideal Pharm
DBA Doing business as Haugen'S Ideal Pharmacy
Authorized official Gulvartian, Lucy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Sep 27th, 2016 - about 8 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 1023145869 NPPES
California MEDICAID PHA310410
California Other 2047820

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