Corona Specialty Pharmacy

LBN: Mdmx Corporation
Corona Specialty Pharmacy is an health care organization with primary practice located at 1280 Corona Pointe Ct Ste 114, Corona CA 92879-1770. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mdmx Corporation can be contacted via phone (951) 278-1008, or through Ahn, Diane Mahealani via phone (951) 278-1008.

Contact Information

Primary practice address
1280 Corona Pointe Ct Ste 114 Corona CA 92879-1770
Phone: (951) 278-1008
Fax: (951) 278-1009
Website:
Map and Directions
Authorized official contact:
Name: Ahn, Diane Mahealani PHARM D
Phone: (951) 278-1008

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY 50310 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 50310 California
Suppliers / Compounding Pharmacy 3336C0004X PHY 50310 California

Profile Details

NPI number 1275852758
LBN Legal business name Mdmx Corporation
DBA Doing business as Corona Specialty Pharmacy
Authorized official Ahn, Diane Mahealani PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2010
Last updated May 24th, 2010 - 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 1275852758 NPPES
California Other PHY 50310 RETAIL PHARMACY PERMIT

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