Doc Arvidsons Pharmacy

LBN: My First Pharmacy Corporation
Doc Arvidsons Pharmacy is an health care organization with primary practice located at 1820 Fullerton Ave Ste 145, Corona CA 92881-3160. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. My First Pharmacy Corporation can be contacted via phone (951) 272-6000, or through Arvidson, Duaine R via phone (951) 207-3315.

Contact Information

Primary practice address
1820 Fullerton Ave Ste 145 Corona CA 92881-3160
Phone: (951) 272-6000
Fax: (951) 272-6322
Website:
Map and Directions
Authorized official contact:
Name: Arvidson, Duaine R MBA
Phone: (951) 207-3315

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47467 California
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1215963913
LBN Legal business name My First Pharmacy Corporation
DBA Doing business as Doc Arvidsons Pharmacy
Authorized official Arvidson, Duaine R MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Jun 10th, 2011 - about 13 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 1215963913 NPPES
Other 5618256 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PH474670 NCPDP PROVIDER IDENTIFICATION NUMBER

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