Northbay Family Compounding Pharmacy Llc

LBN: Northbay Family Compounding Pharmacy Llc
Northbay Family Compounding Pharmacy Llc is an health care organization with primary practice located at 690 E Tabor Ave Suite H, Fairfield CA 94533-4079. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Northbay Family Compounding Pharmacy Llc can be contacted via phone (707) 421-1117, or through Dangtran, Helen via phone (707) 421-1117.

Contact Information

Primary practice address
690 E Tabor Ave Suite H Fairfield CA 94533-4079
Phone: (707) 421-1117
Fax: (707) 421-1118
Website:
Map and Directions
Authorized official contact:
Name: Dangtran, Helen
Phone: (707) 421-1117

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X PHY50251 California
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1942511399
LBN Legal business name Northbay Family Compounding Pharmacy Llc
DBA Doing business as Northbay Family Compounding Pharmacy Llc
Authorized official Dangtran, Helen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2010
Last updated Jun 30th, 2010 - about 15 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 1942511399 NPPES
Other 5638222 NCPDP PROVIDER IDENTIFICATION NUMBER

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