North Lake Medical Pharmacy

LBN: Neeley, Inc
North Lake Medical Pharmacy is an health care organization with primary practice located at 5136 Hill Rd E , Lakeport CA 95453-6300. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Neeley, Inc can be contacted via phone (707) 263-6192, or through Ricetti, Cindy via phone (707) 263-6192.

Contact Information

Primary practice address
5136 Hill Rd E Lakeport CA 95453-6300
Phone: (707) 263-6192
Fax: (707) 263-7839
Website:
Map and Directions
Authorized official contact:
Name: Ricetti, Cindy
Phone: (707) 263-6192

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHA212400 California

Profile Details

NPI number 1013921881
LBN Legal business name Neeley, Inc
DBA Doing business as North Lake Medical Pharmacy
Authorized official Ricetti, Cindy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 9th, 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 1013921881 NPPES
California MEDICAID PHY57297

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