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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003201328 | NPPES |
| California | MEDICAID | 1003201328 | |
| California | Other | 2154303 |
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