Anderson Pharmacy

LBN: Ntegrous Core Corporation
Anderson Pharmacy is an health care organization with primary practice located at 1864 E. Washington Blvd #105 , Pasadena CA 91104. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ntegrous Core Corporation can be contacted via phone (626) 398-1696, or through Brannum, Marva via phone (626) 398-1696.

Contact Information

Primary practice address
1864 E. Washington Blvd #105 Pasadena CA 91104
Phone: (626) 398-1696
Fax: (626) 398-9860
Website:
Map and Directions
Authorized official contact:
Name: Brannum, Marva PHARM.D.
Phone: (626) 398-1696

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY34307 California
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1336230010
LBN Legal business name Ntegrous Core Corporation
DBA Doing business as Anderson Pharmacy
Authorized official Brannum, Marva PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Sep 20th, 2022 - about 2 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 1336230010 NPPES
California MEDICAID PHA343070
California MEDICAID 1336230010

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