Salud Clinic Pharmacy

LBN: Imgrx Salud Inc
Salud Clinic Pharmacy is an health care organization with primary practice located at 500B Jefferson Blvd Ste 181 , West Sacramento CA 95605-2350. 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 (916) 403-2988, or through Brown, Michael via phone (281) 749-4764.

Contact Information

Primary practice address
500B Jefferson Blvd Ste 181 West Sacramento CA 95605-2350
Fax: (916) 403-2985
Website:
Authorized official contact:
Name: Brown, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 54287 California

Profile Details

NPI number 1700246360
LBN Legal business name Imgrx Salud Inc
DBA Doing business as Salud Clinic Pharmacy
Authorized official Brown, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 25th, 2016
Last updated Sep 14th, 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 1700246360 NPPES
Other 2158303 PK
MEDICAID 1700246360 PK

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