Parkside Pharmacy

LBN: Pharma Nova Inc
Parkside Pharmacy is an health care organization with primary practice located at 4404 Del Rio Rd , Sacramento CA 95822-1126. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharma Nova Inc can be contacted via phone (916) 452-2200, or through Ortego, John via phone (916) 224-6027.

Contact Information

Primary practice address
4404 Del Rio Rd Sacramento CA 95822-1126
Phone: (916) 452-2200
Fax: (916) 452-2247
Website:
Map and Directions
Authorized official contact:
Name: Ortego, John
Phone: (916) 224-6027

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 49289 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1598903130
LBN Legal business name Pharma Nova Inc
DBA Doing business as Parkside Pharmacy
Authorized official Ortego, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2009
Last updated Jan 13th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598903130 NPPES
Other 5633638 NCPDP PROVIDER IDENTIFICATION NUMBER

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