Avita Pharmacy 1011

LBN: Pharmedquest Pharmacy Services
Avita Pharmacy 1011 is an health care organization with primary practice located at 276 College Street , Covina CA 91723-1902. 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. Pharmedquest Pharmacy Services can be contacted via phone (714) 364-4008, or through Ibarra, Dalila via phone (657) 286-7957.

Contact Information

Primary practice address
276 College Street Covina CA 91723-1902
Phone: (714) 364-4008
Fax: (714) 599-8242
Website:
Map and Directions
Authorized official contact:
Name: Ibarra, Dalila
Phone: (657) 286-7957

Health care specialties

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

Profile Details

NPI number 1811549496
LBN Legal business name Pharmedquest Pharmacy Services
DBA Doing business as Avita Pharmacy 1011
Authorized official Ibarra, Dalila
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2019
Last updated Mar 14th, 2024 - about last year

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 1811549496 NPPES
California MEDICAID 1811549496

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