Moreno Valley Pharmacy

LBN: Pravin Darji
Moreno Valley Pharmacy is an health care organization with primary practice located at 12980 Frederick St Ste B , Moreno Valley CA 92553-5263. 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. Pravin Darji can be contacted via phone (909) 485-6500, or through Darji, Pravin via phone (951) 485-6500.

Contact Information

Primary practice address
12980 Frederick St Ste B Moreno Valley CA 92553-5263
Phone: (909) 485-6500
Fax: (951) 247-3797
Website:
Map and Directions
Authorized official contact:
Name: Darji, Pravin BS PHARMACY
Phone: (951) 485-6500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY40564 California

Profile Details

NPI number 1154436178
LBN Legal business name Pravin Darji
DBA Doing business as Moreno Valley Pharmacy
Authorized official Darji, Pravin BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 19th, 2018 - about 6 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 1154436178 NPPES
California MEDICAID PHA405640
California Other 1993987

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