Jefferson Pharmacy

LBN: Jefferson Pharmacy
Jefferson Pharmacy is an health care organization with primary practice located at 1029 Jefferson Blvd Ste A , West Sacramento CA 95691-3344. 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. Jefferson Pharmacy can be contacted via phone (916) 371-2022, or through Tran, Beatle via phone (916) 371-2022.

Contact Information

Primary practice address
1029 Jefferson Blvd Ste A West Sacramento CA 95691-3344
Phone: (916) 371-2022
Fax: (916) 371-2027
Website:
Map and Directions
Authorized official contact:
Name: Tran, Beatle RPH
Phone: (916) 371-2022

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47083 California

Profile Details

NPI number 1699846774
LBN Legal business name Jefferson Pharmacy
DBA Doing business as Jefferson Pharmacy
Authorized official Tran, Beatle RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 22nd, 2017 - about 7 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 1699846774 NPPES
California MEDICAID 1821081910
California Other 2115818

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