Fireside Pharmacy
LBN: Pathway Pharmaceuticals Inc
Fireside Pharmacy is an health care organization with primary practice located at 73847 Highway 111 , Palm Desert CA 92260-4005. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pathway Pharmaceuticals Inc can be contacted via phone (760) 346-1113, or through Omilana, Adeyemi via phone (760) 409-4898.
Contact Information
Primary practice address
73847 Highway 111
Palm Desert CA 92260-4005
Phone: (760) 346-1113
Fax: (760) 346-8725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY47407 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1629140405 |
|---|---|
| LBN Legal business name | Pathway Pharmaceuticals Inc |
| DBA Doing business as | Fireside Pharmacy |
| Authorized official | Omilana, Adeyemi RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 19th, 2017 - about 7 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 | 1629140405 | NPPES |
| California | MEDICAID | PHA474070 | |
| California | Other | 2067075 |
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