South Main Aloha Pharmacy

LBN: Pine Drug Inc
South Main Aloha Pharmacy is an health care organization with primary practice located at 618 S Main St , Santa Ana CA 92701-5716. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pine Drug Inc can be contacted via phone (714) 676-2078, or through Dang, John via phone (714) 839-1267.

Contact Information

Primary practice address
618 S Main St Santa Ana CA 92701-5716
Phone: (714) 676-2078
Fax: (714) 676-2079
Website:
Map and Directions
Authorized official contact:
Name: Dang, John
Phone: (714) 839-1267

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 53628 California
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1003201328
LBN Legal business name Pine Drug Inc
DBA Doing business as South Main Aloha Pharmacy
Authorized official Dang, John
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2015
Last updated Nov 29th, 2022 - about 2 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 1003201328 NPPES
California MEDICAID 1003201328
California Other 2154303

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