Jfk Medical Plaza Pharmacy Inc

LBN: Jfk Medical Plaza Pharmacy Inc
Jfk Medical Plaza Pharmacy Inc is an health care organization with primary practice located at 41120 Washington St Ste 100, Bermuda Dunes CA 92203-9215. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Jfk Medical Plaza Pharmacy Inc can be contacted via phone (760) 772-7300, or through Cho, Young via phone (760) 772-7300.

Contact Information

Primary practice address
41120 Washington St Ste 100 Bermuda Dunes CA 92203-9215
Phone: (760) 772-7300
Fax: (760) 772-7303
Website:
Map and Directions
Authorized official contact:
Name: Cho, Young
Phone: (760) 772-7300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY45002 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1700960838
LBN Legal business name Jfk Medical Plaza Pharmacy Inc
DBA Doing business as
Authorized official Cho, Young
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1700960838 NPPES
California MEDICAID PHY45002
California Other 0544052

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