Lims Shasta Lake Pharmacy Inc

LBN: Lims Shasta Lake Pharmacy Inc
Lims Shasta Lake Pharmacy Inc is an health care organization with primary practice located at 4215 Front St Ste 31, Shasta Lake CA 96019-9430. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Lims Shasta Lake Pharmacy Inc can be contacted via phone (530) 275-2100, or through Lim, Ronald via phone (530) 941-1179.

Contact Information

Primary practice address
4215 Front St Ste 31 Shasta Lake CA 96019-9430
Phone: (530) 275-2100
Fax: (530) 275-5900
Website:
Map and Directions
Authorized official contact:
Name: Lim, Ronald PHRMD
Phone: (530) 941-1179

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48558 California

Profile Details

NPI number 1154512226
LBN Legal business name Lims Shasta Lake Pharmacy Inc
DBA Doing business as Lims Shasta Lake Pharmacy Inc
Authorized official Lim, Ronald PHRMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Jul 1st, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154512226 NPPES
Other 5627748 NCPDP PROVIDER IDENTIFICATION NUMBER

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