Merced Medical Pharmacy

LBN: Merced Medical Pharmacy Inc
Merced Medical Pharmacy is an health care organization with primary practice located at 1515 W Merced Ave , West Covina CA 91790-3403. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Merced Medical Pharmacy Inc can be contacted via phone (626) 962-3685, or through Furuta, George via phone (626) 962-3685.

Contact Information

Primary practice address
1515 W Merced Ave West Covina CA 91790-3403
Phone: (626) 962-3685
Fax: (626) 962-3515
Website:
Map and Directions
Authorized official contact:
Name: Furuta, George
Phone: (626) 962-3685

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY19902 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740365030
LBN Legal business name Merced Medical Pharmacy Inc
DBA Doing business as Merced Medical Pharmacy
Authorized official Furuta, George
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740365030 NPPES
California MEDICAID PHA199020
California Other 0507270

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