Komoto Pharmacy, Inc.
LBN: Komoto Pharmacy, Inc.
Komoto Pharmacy, Inc. is an health care organization with primary practice located at 1017 Ellington St , Delano CA 93215-2621. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Komoto Pharmacy, Inc. can be contacted via phone (661) 725-9489, or through Komoto, Brian K. via phone (661) 725-9489.
Contact Information
Primary practice address
1017 Ellington St
Delano CA 93215-2621
Phone: (661) 725-9489
Fax: (661) 721-2537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHY 34707 | California |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | PHY34707 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY34707 | California |
Profile Details
| NPI number | 1548275324 |
|---|---|
| LBN Legal business name | Komoto Pharmacy, Inc. |
| DBA Doing business as | |
| Authorized official | Komoto, Brian K. PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jun 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548275324 | NPPES |
| California | Other | PHA347070 | MEDI-CAL |
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