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:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1598903130 | NPPES |
Other | 5633638 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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