Main Street Pharmacy Inc

LBN: Main Street Pharmacy Incorporated
Main Street Pharmacy Inc is an health care organization with primary practice located at 823 S Main St Ste 102 , Corona CA 92882-3409. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Main Street Pharmacy Incorporated can be contacted via phone (951) 279-3125, or through Padilla, Amelia Grace via phone (951) 279-3125.

Contact Information

Primary practice address
823 S Main St Ste 102 Corona CA 92882-3409
Phone: (951) 279-3125
Fax: (951) 279-3127
Website:
Map and Directions
Authorized official contact:
Name: Padilla, Amelia Grace RPH
Phone: (951) 279-3125

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46586 California

Profile Details

NPI number 1821042383
LBN Legal business name Main Street Pharmacy Incorporated
DBA Doing business as Main Street Pharmacy Inc
Authorized official Padilla, Amelia Grace RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jul 1st, 2022 - about 2 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 1821042383 NPPES
Other 2113786 PK
MEDICAID PHA465860 PK

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