Park Boulevard Pharmacy
LBN: Medicine World Inc
Park Boulevard Pharmacy is an health care organization with primary practice located at 3904 Park Blvd , San Diego CA 92103-3502. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Medicine World Inc can be contacted via phone (619) 295-3109, or through Atiya, Ramsey via phone (619) 295-3109.
Contact Information
Primary practice address
3904 Park Blvd
San Diego CA 92103-3502
Phone: (619) 295-3109
Fax: (619) 497-5234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY45333 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1366453953 |
|---|---|
| LBN Legal business name | Medicine World Inc |
| DBA Doing business as | Park Boulevard Pharmacy |
| Authorized official | Atiya, Ramsey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1366453953 | NPPES |
| California | MEDICAID | PHA453330 | |
| California | Other | 0576821 |
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