Jefferson Plaza Pharmacy
LBN: Medical Center Pharmacies Inc
Jefferson Plaza Pharmacy is an health care organization with primary practice located at 3137 Jefferson Ave , Redwood City CA 94062-2959. 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.
Medical Center Pharmacies Inc can be contacted via phone (650) 366-3784, or through Pinghon Chan, John via phone (650) 366-3784.
Contact Information
Primary practice address
3137 Jefferson Ave
Redwood City CA 94062-2959
Phone: (650) 366-3784
Fax: (650) 366-1848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY11062 | California |
Profile Details
| NPI number | 1437287802 |
|---|---|
| LBN Legal business name | Medical Center Pharmacies Inc |
| DBA Doing business as | Jefferson Plaza Pharmacy |
| Authorized official | Pinghon Chan, John PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Oct 6th, 2014 - about 11 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 | 1437287802 | NPPES |
| Other | 2076783 | PK | |
| MEDICAID | PHA110620 | PK |
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