Northeast Valley Health Pharmacy
LBN: Northeast Valley Health Corporation
Northeast Valley Health Pharmacy is an health care organization with primary practice located at 1600 San Fernando Rd , San Fernando CA 91340-3115. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Northeast Valley Health Corporation can be contacted via phone (818) 365-5047, or through Wyard, Kimberly via phone (818) 898-1388.
Contact Information
Primary practice address
1600 San Fernando Rd
San Fernando CA 91340-3115
Phone: (818) 365-5047
Fax: (818) 365-8095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY17330 | California |
Profile Details
| NPI number | 1396893095 |
|---|---|
| LBN Legal business name | Northeast Valley Health Corporation |
| DBA Doing business as | Northeast Valley Health Pharmacy |
| Authorized official | Wyard, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 19th, 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 | 1396893095 | NPPES |
| Other | 2088136 | PK | |
| MEDICAID | PHY17330 | PK | |
| MEDICAID | PHA17330 | PK |
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