Mojave Pharmacy

LBN: Mojave Pharmacy Inc
Mojave Pharmacy is an health care organization with primary practice located at 16912 Highway 14 , Mojave CA 93501-1226. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mojave Pharmacy Inc can be contacted via phone (661) 824-1800, or through Do, Tan via phone (661) 824-1800.

Contact Information

Primary practice address
16912 Highway 14 Mojave CA 93501-1226
Phone: (661) 824-1800
Fax: (661) 824-1802
Website:
Map and Directions
Authorized official contact:
Name: Do, Tan
Phone: (661) 824-1800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47150 California

Profile Details

NPI number 1477613610
LBN Legal business name Mojave Pharmacy Inc
DBA Doing business as Mojave Pharmacy
Authorized official Do, Tan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 19th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477613610 NPPES
California MEDICAID PHA471500
California Other 2113555

Popular Providers