Plaza Pharmacy

LBN: Pharmajo Inc
Plaza Pharmacy is an health care organization with primary practice located at 430 E Avenida De Los Arboles Suite 103, Thousand Oaks CA 91360-3003. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharmajo Inc can be contacted via phone (805) 492-2451, or through Lutz, John via phone (805) 492-2451.

Contact Information

Primary practice address
430 E Avenida De Los Arboles Suite 103 Thousand Oaks CA 91360-3003
Phone: (805) 492-2451
Fax: (805) 492-7837
Website:
Map and Directions
Authorized official contact:
Name: Lutz, John
Phone: (805) 492-2451

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY45917 California

Profile Details

NPI number 1881771756
LBN Legal business name Pharmajo Inc
DBA Doing business as Plaza Pharmacy
Authorized official Lutz, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Mar 8th, 2012 - about 12 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 1881771756 NPPES
Other 0521840 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA459170 NCPDP PROVIDER IDENTIFICATION NUMBER

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