Pearson'S Medical Group Pharmacy

LBN: Pearsons Medical Group Pharmacy
Pearson'S Medical Group Pharmacy is an health care organization with primary practice located at 1700 N Waterman Ave , San Bernardino CA 92404. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Pearsons Medical Group Pharmacy can be contacted via phone (909) 883-3088, or through Downs, Maria via phone (909) 883-3088.

Contact Information

Primary practice address
1700 N Waterman Ave San Bernardino CA 92404
Phone: (909) 883-3088
Fax: (909) 881-2208
Website:
Map and Directions
Authorized official contact:
Name: Downs, Maria
Phone: (909) 883-3088

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY56123 California

Profile Details

NPI number 1790780070
LBN Legal business name Pearsons Medical Group Pharmacy
DBA Doing business as Pearson'S Medical Group Pharmacy
Authorized official Downs, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 10th, 2018 - about 6 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 1790780070 NPPES
California MEDICAID PHA206080

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