Waterman Pharmacy
LBN: Lac Pharmacies Inc
Waterman Pharmacy is an health care organization with primary practice located at 2150 N Waterman Ave Ste 104, San Bernardino CA 92404-4811. 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.
Lac Pharmacies Inc can be contacted via phone (909) 882-5800, or through Kar Chan, Katherine via phone (909) 882-5800.
Contact Information
Primary practice address
2150 N Waterman Ave Ste 104
San Bernardino CA 92404-4811
Phone: (909) 882-5800
Fax: (909) 882-3580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY47424 | California |
Profile Details
| NPI number | 1609988526 |
|---|---|
| LBN Legal business name | Lac Pharmacies Inc |
| DBA Doing business as | Waterman Pharmacy |
| Authorized official | Kar Chan, Katherine PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 3rd, 2010 - about 15 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 | 1609988526 | NPPES |
| Other | 0575918 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA431190 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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