Waterfront Pharmacy

LBN: Joseph Huante
Waterfront Pharmacy is an health care organization with primary practice located at 123 S Commerce St Ste A, Stockton CA 95202-2837. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Joseph Huante can be contacted via phone (209) 463-7777, or through Huante, Joseph via phone (209) 463-7777.

Contact Information

Primary practice address
123 S Commerce St Ste A Stockton CA 95202-2837
Phone: (209) 463-7777
Fax: (209) 463-2206
Website:
Map and Directions
Authorized official contact:
Name: Huante, Joseph RPH
Phone: (209) 463-7777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY36858 California

Profile Details

NPI number 1730124058
LBN Legal business name Joseph Huante
DBA Doing business as Waterfront Pharmacy
Authorized official Huante, Joseph RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 19th, 2011 - about 13 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 1730124058 NPPES
Other 0578368 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA368580 NCPDP PROVIDER IDENTIFICATION NUMBER
Other 1730124058 NCPDP PROVIDER IDENTIFICATION NUMBER

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