Dba Village Pharmacy

LBN: Pramukh Management Inc
Dba Village Pharmacy is an health care organization with primary practice located at 1708 S Catalina Ave , Redondo Beach CA 90277-5504. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pramukh Management Inc can be contacted via phone (310) 540-4441, or through Patel, Rakesh via phone (310) 540-4441.

Contact Information

Primary practice address
1708 S Catalina Ave Redondo Beach CA 90277-5504
Phone: (310) 540-4441
Fax: (310) 540-5274
Website:
Map and Directions
Authorized official contact:
Name: Patel, Rakesh
Phone: (310) 540-4441

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY48668 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1093726689
LBN Legal business name Pramukh Management Inc
DBA Doing business as Dba Village Pharmacy
Authorized official Patel, Rakesh
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 27th, 2007 - about 18 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 1093726689 NPPES
Other 0573673 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA222400 OTHER ID NUMBER-COMMERCIAL NUMBER

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