Mesa Pharmacy

LBN: Mesa Pharmacy
Mesa Pharmacy is an health care organization with primary practice located at 14085 Newport Ave , Tustin CA 92780-5172. 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. Mesa Pharmacy can be contacted via phone (714) 505-2231, or through Do, Mytu via phone (714) 425-2706.

Contact Information

Primary practice address
14085 Newport Ave Tustin CA 92780-5172
Phone: (714) 505-2231
Fax: (714) 505-2235
Website:
Map and Directions
Authorized official contact:
Name: Do, Mytu
Phone: (714) 425-2706

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY47404 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033124664
LBN Legal business name Mesa Pharmacy
DBA Doing business as
Authorized official Do, Mytu
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 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 1033124664 NPPES
Other 5618244 OTHER ID NUMBER-COMMERCIAL NUMBER

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