Central Pharmacy #002

LBN: Mercury Pharmacy Corporation
Central Pharmacy #002 is an health care organization with primary practice located at 3495 Sonoma Blvd Ste K , Vallejo CA 94590-2984. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mercury Pharmacy Corporation can be contacted via phone (707) 200-4411, or through Duenas, Ricardo Angel via phone (707) 200-4411.

Contact Information

Primary practice address
3495 Sonoma Blvd Ste K Vallejo CA 94590-2984
Phone: (707) 200-4411
Fax: (707) 652-5906
Website:
Map and Directions
Authorized official contact:
Name: Duenas, Ricardo Angel
Phone: (707) 200-4411

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 51790 California

Profile Details

NPI number 1912323155
LBN Legal business name Mercury Pharmacy Corporation
DBA Doing business as Central Pharmacy #002
Authorized official Duenas, Ricardo Angel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2014
Last updated Jul 5th, 2022 - about 3 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 1912323155 NPPES
California MEDICAID 1912323155

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