St. Luke Professional Pharmacy

LBN: M & I Enterprises, Inc.
St. Luke Professional Pharmacy is an health care organization with primary practice located at 2554 E Washington Blvd Ste B, Pasadena CA 91107-1445. 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. M & I Enterprises, Inc. can be contacted via phone (626) 791-7595, or through Jung, Mat via phone (626) 791-7595.

Contact Information

Primary practice address
2554 E Washington Blvd Ste B Pasadena CA 91107-1445
Fax: (626) 791-3564
Website:
Authorized official contact:
Name: Jung, Mat RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54584 California

Profile Details

NPI number 1346378007
LBN Legal business name M & I Enterprises, Inc.
DBA Doing business as St. Luke Professional Pharmacy
Authorized official Jung, Mat RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Sep 21st, 2016 - about 8 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 1346378007 NPPES
Other 2005197 PK

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