El Dorado Community Pharmacy

LBN: Imgrx Salud Inc
El Dorado Community Pharmacy is an health care organization with primary practice located at 3104 Ponte Morino Dr Ste 100 , Cameron Park CA 95682-8282. 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. Imgrx Salud Inc can be contacted via phone (530) 556-2007, or through Brown, Michael via phone (281) 749-4764.

Contact Information

Primary practice address
3104 Ponte Morino Dr Ste 100 Cameron Park CA 95682-8282
Phone: (530) 556-2007
Fax: (530) 350-6331
Website:
Map and Directions
Authorized official contact:
Name: Brown, Michael
Phone: (281) 749-4764

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 54538 California

Profile Details

NPI number 1669829628
LBN Legal business name Imgrx Salud Inc
DBA Doing business as El Dorado Community Pharmacy
Authorized official Brown, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2016
Last updated Sep 6th, 2022 - about 2 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 1669829628 NPPES
Other 2163628 PK

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