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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336230010 | NPPES |
| California | MEDICAID | PHA343070 | |
| California | MEDICAID | 1336230010 |
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