Midtown Pharmacy Professional Corporation

LBN: Midtown Pharmacy Pc
Midtown Pharmacy Professional Corporation is an health care organization with primary practice located at 2173 Harbor Bay Pkwy , Alameda CA 94502-3019. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Midtown Pharmacy Pc can be contacted via phone (510) 864-4199, or through Coleman, Wayne Stephen via phone (510) 864-4199.

Contact Information

Primary practice address
2173 Harbor Bay Pkwy Alameda CA 94502-3019
Phone: (510) 864-4199
Fax: (510) 864-4196
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Wayne Stephen PHARMD
Phone: (510) 864-4199

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY53944 California

Profile Details

NPI number 1932105897
LBN Legal business name Midtown Pharmacy Pc
DBA Doing business as Midtown Pharmacy Professional Corporation
Authorized official Coleman, Wayne Stephen PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Jan 4th, 2021 - 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 1932105897 NPPES
California MEDICAID PHA53944
California Other 1992840

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