Station Pharmacy
LBN: Infortel Medical Group
Station Pharmacy is an health care organization with primary practice located at 1820 Wilshire Blvd , Santa Monica CA 90403-5610. 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.
Infortel Medical Group can be contacted via phone (310) 892-0468, or through Kong, Eleanor Fam Mai via phone (310) 892-0468.
Contact Information
Primary practice address
1820 Wilshire Blvd
Santa Monica CA 90403-5610
Phone: (310) 892-0468
Fax: (310) 861-1888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY 50343 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY 50343 | California |
Profile Details
| NPI number | 1780997619 |
|---|---|
| LBN Legal business name | Infortel Medical Group |
| DBA Doing business as | Station Pharmacy |
| Authorized official | Kong, Eleanor Fam Mai PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2010 |
| Last updated | Feb 3rd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780997619 | NPPES |
| California | MEDICAID | PHA465390 | |
| California | Other | PHY 50343 |
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