Crystal Medical Center Pharmacy
LBN: Odedra Enterprises, Inc.
Crystal Medical Center Pharmacy is an health care organization with primary practice located at 2809 Olive Hwy Suite 160, Oroville CA 95966-6131. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Long Term Care Hospital, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Odedra Enterprises, Inc. can be contacted via phone (530) 533-1545, or through Riddle, Betty L via phone (530) 588-1325.
Contact Information
Primary practice address
2809 Olive Hwy Suite 160
Oroville CA 95966-6131
Phone: (530) 533-1545
Fax: (530) 533-5963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Long Term Care Hospital | 282E00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY53577 | California |
Profile Details
| NPI number | 1174677827 |
|---|---|
| LBN Legal business name | Odedra Enterprises, Inc. |
| DBA Doing business as | Crystal Medical Center Pharmacy |
| Authorized official | Riddle, Betty L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Aug 19th, 2020 - about 4 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 | 1174677827 | NPPES |
| California | MEDICAID | 461990 | |
| California | Other | 2157440 |
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