El Toro Pharmacy
LBN: Nasibadara, Inc
El Toro Pharmacy is an health care organization with primary practice located at 23665 Moulton Pkwy Ste A&C , Laguna Hills CA 92653-1937. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Nasibadara, Inc can be contacted via phone (949) 586-3664, or through Edington, Stewart via phone (954) 818-6813.
Contact Information
Primary practice address
23665 Moulton Pkwy Ste A&C
Laguna Hills CA 92653-1937
Phone: (949) 586-3664
Fax: (949) 580-1723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PHY55801 | California |
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1124122841 |
|---|---|
| LBN Legal business name | Nasibadara, Inc |
| DBA Doing business as | El Toro Pharmacy |
| Authorized official | Edington, Stewart |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jan 24th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124122841 | NPPES |
| Other | 1997867 | PK | |
| MEDICAID | PHA44808 | PK |
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