Pechanga Indian Health Clinic Pharmacy

LBN: Pechanga Indian Health Clinic Pharmacy
Pechanga Indian Health Clinic Pharmacy is an health care organization with primary practice located at 47001 Pala Rd , Temecula CA 92592-2925. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Pechanga Indian Health Clinic Pharmacy can be contacted via phone (951) 676-6810, or through Thomsen, William via phone (909) 864-1097.

Contact Information

Primary practice address
47001 Pala Rd Temecula CA 92592-2925
Phone: (951) 676-6810
Fax: (951) 676-6421
Website:
Map and Directions
Authorized official contact:
Name: Thomsen, William
Phone: (909) 864-1097

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 50823 California
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1760728380
LBN Legal business name Pechanga Indian Health Clinic Pharmacy
DBA Doing business as Pechanga Indian Health Clinic Pharmacy
Authorized official Thomsen, William
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2012
Last updated Oct 7th, 2021 - about 3 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 1760728380 NPPES
Other 5646178 NCPDP PROVIDER IDENTIFICATION NUMBER

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