Medical Dental Pharmacy
LBN: Medical Dental Pharmacy
Medical Dental Pharmacy is an health care organization with primary practice located at 689 E Nees Ave , Fresno CA 93720-2106. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medical Dental Pharmacy can be contacted via phone (559) 439-1190, or through Smith, Diana via phone (559) 439-1190.
Contact Information
Primary practice address
689 E Nees Ave
Fresno CA 93720-2106
Phone: (559) 439-1190
Fax: (559) 439-1165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY44342 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1609980671 |
|---|---|
| LBN Legal business name | Medical Dental Pharmacy |
| DBA Doing business as | Medical Dental Pharmacy |
| Authorized official | Smith, Diana PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609980671 | NPPES |
| Other | 2000624 | PK | |
| MEDICAID | PHA44342 | PK |
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