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
Fax: (909) 882-3580
Website:
Authorized official contact:
Name: Kar Chan, Katherine PHARMD

Health care specialties

SpecialtyCodeLicense #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 14 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 1609988526 NPPES
Other 0575918 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA431190 NCPDP PROVIDER IDENTIFICATION NUMBER

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