Mesa Pharmacy Iii

LBN: Mesa Pharmacy Inc
Mesa Pharmacy Iii is an health care organization with primary practice located at 1900 Royalty Dr Ste 190 , Pomona CA 91767-3050. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mesa Pharmacy Inc can be contacted via phone (909) 623-8600, or through Do, Andy via phone (702) 354-7578.

Contact Information

Primary practice address
1900 Royalty Dr Ste 190 Pomona CA 91767-3050
Phone: (909) 623-8600
Fax: (909) 623-8686
Website:
Map and Directions
Authorized official contact:
Name: Do, Andy
Phone: (702) 354-7578

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 50767 California

Profile Details

NPI number 1841302775
LBN Legal business name Mesa Pharmacy Inc
DBA Doing business as Mesa Pharmacy Iii
Authorized official Do, Andy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 24th, 2012 - about 12 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 1841302775 NPPES
Other 5616935 NCPDP PROVIDER IDENTIFICATION NUMBER

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