Pacifica Fortuna Pharmacy
LBN: Pacifica Fortuna Inc
Pacifica Fortuna Pharmacy is an health care organization with primary practice located at 14427 Chase St Ste B, Panorama City CA 91402-3020. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pacifica Fortuna Inc can be contacted via phone (818) 892-8388, or through Ho, Allen via phone (818) 892-8388.
Contact Information
Primary practice address
14427 Chase St Ste B
Panorama City CA 91402-3020
Phone: (818) 892-8388
Fax: (818) 892-7077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46593 | California |
Profile Details
| NPI number | 1154332658 |
|---|---|
| LBN Legal business name | Pacifica Fortuna Inc |
| DBA Doing business as | Pacifica Fortuna Pharmacy |
| Authorized official | Ho, Allen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 30th, 2008 - about 16 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 | 1154332658 | NPPES |
| California | MEDICAID | PHA465930 | |
| California | Other | 5601566 |
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