North Lake Medical Pharmacy #2

LBN: Neeley Family, Inc
North Lake Medical Pharmacy #2 is an health care organization with primary practice located at 347 Lakeport Blvd , Lakeport CA 95453-5412. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Neeley Family, Inc can be contacted via phone (707) 263-1328, or through Neeley, Robert Daniel via phone (707) 263-1326.

Contact Information

Primary practice address
347 Lakeport Blvd Lakeport CA 95453-5412
Phone: (707) 263-1328
Fax: (707) 263-0864
Website:
Map and Directions
Authorized official contact:
Name: Neeley, Robert Daniel
Phone: (707) 263-1326

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY412710 California

Profile Details

NPI number 1376577023
LBN Legal business name Neeley Family, Inc
DBA Doing business as North Lake Medical Pharmacy #2
Authorized official Neeley, Robert Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 1st, 2020 - about 4 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 1376577023 NPPES
California MEDICAID PHA412710

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