Prestige Medical Pharmacy

LBN: Prestige Medical Solutions
Prestige Medical Pharmacy is an health care organization with primary practice located at 17150 Euclid St Ste 222A , Fountain Valley CA 92708-4092. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prestige Medical Solutions can be contacted via phone (714) 361-1012, or through Ahmed, Usman via phone (714) 361-1012.

Contact Information

Primary practice address
17150 Euclid St Ste 222A Fountain Valley CA 92708-4092
Fax: (714) 361-1019
Website:
Authorized official contact:
Name: Ahmed, Usman

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 52505 California
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1730598061
LBN Legal business name Prestige Medical Solutions
DBA Doing business as Prestige Medical Pharmacy
Authorized official Ahmed, Usman
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2014
Last updated Apr 25th, 2017 - about 7 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 1730598061 NPPES
Other 2155278 PK

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