Lake Arrowhead Village Pharmacy
LBN: Lake Arrowhead Village Pharmacy
Lake Arrowhead Village Pharmacy is an health care organization with primary practice located at 28200 St Hwy 189 , Lake Arrowhead CA 92352-9700. 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.
Lake Arrowhead Village Pharmacy can be contacted via phone (909) 336-0120, or through Blain, Michelle via phone (909) 336-0120.
Contact Information
Primary practice address
28200 St Hwy 189
Lake Arrowhead CA 92352-9700
Phone: (909) 336-0120
Fax: (909) 336-0140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46040 | California |
Profile Details
| NPI number | 1518034198 |
|---|---|
| LBN Legal business name | Lake Arrowhead Village Pharmacy |
| DBA Doing business as | Lake Arrowhead Village Pharmacy |
| Authorized official | Blain, Michelle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518034198 | NPPES |
| Other | 0588600 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA460400 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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