Ivanhoe Drug

LBN: Ivanhoe Drug
Ivanhoe Drug is an health care organization with primary practice located at 33060 Road 159 , Ivanhoe CA 93235-1235. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Ivanhoe Drug can be contacted via phone (559) 798-0861, or through Ohanesian, Gary C via phone (559) 798-0861.

Contact Information

Primary practice address
33060 Road 159 Ivanhoe CA 93235-1235
Phone: (559) 798-0861
Fax: (559) 798-1815
Website:
Map and Directions
Authorized official contact:
Name: Ohanesian, Gary C RPH.
Phone: (559) 798-0861

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY 32581 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHY 32581 California
Suppliers / Pharmacy 333600000X PHY 32581 California

Profile Details

NPI number 1528051786
LBN Legal business name Ivanhoe Drug
DBA Doing business as
Authorized official Ohanesian, Gary C RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 22nd, 2020 - about 5 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 1528051786 NPPES
California MEDICAID PHA 325810

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