Medical Clinic Pharmacy

LBN: Medical Tree Pharmacy Inc
Medical Clinic Pharmacy is an health care organization with primary practice located at 2025 Soquel Ave , Santa Cruz CA 95062-1323. 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 Tree Pharmacy Inc can be contacted via phone (831) 426-0200, or through Dembaski, Tom via phone (408) 426-0200.

Contact Information

Primary practice address
2025 Soquel Ave Santa Cruz CA 95062-1323
Phone: (831) 426-0200
Fax: (831) 426-0507
Website:
Map and Directions
Authorized official contact:
Name: Dembaski, Tom
Phone: (408) 426-0200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY21201 California

Profile Details

NPI number 1023029600
LBN Legal business name Medical Tree Pharmacy Inc
DBA Doing business as Medical Clinic Pharmacy
Authorized official Dembaski, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 17th, 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 1023029600 NPPES
Other 2115560 PK
MEDICAID PHA212010 PK

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