Ivanhoe Pharmacy Inc

LBN: Ivanhoe Pharmacy Inc
Ivanhoe Pharmacy Inc is an health care organization with primary practice located at 33060 Road 159 , Ivanhoe CA 93235-1235. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ivanhoe Pharmacy Inc can be contacted via phone (559) 798-1219, or through Derderian, Edward J via phone (559) 798-1219.

Contact Information

Primary practice address
33060 Road 159 Ivanhoe CA 93235-1235
Phone: (559) 798-1219
Fax: (559) 798-0975
Website:
Map and Directions
Authorized official contact:
Name: Derderian, Edward J PHARM.D.; R.PH.
Phone: (559) 798-1219

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51138 California

Profile Details

NPI number 1689927816
LBN Legal business name Ivanhoe Pharmacy Inc
DBA Doing business as
Authorized official Derderian, Edward J PHARM.D.; R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2012
Last updated Dec 3rd, 2013 - about 12 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 1689927816 NPPES
California MEDICAID 1689927816
California Other 5645683

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