Econo Pharmacy

LBN: Providence Pharmaceuticals Inc
Econo Pharmacy is an health care organization with primary practice located at 15435 S Western Ave Ste 100 C, Gardena CA 90249-4323. 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. Providence Pharmaceuticals Inc can be contacted via phone (310) 353-2695, or through Choi, Diana via phone (310) 353-2699.

Contact Information

Primary practice address
15435 S Western Ave Ste 100 C Gardena CA 90249-4323
Phone: (310) 353-2695
Fax: (310) 353-2696
Website:
Map and Directions
Authorized official contact:
Name: Choi, Diana
Phone: (310) 353-2699

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51680 California

Profile Details

NPI number 1639180227
LBN Legal business name Providence Pharmaceuticals Inc
DBA Doing business as Econo Pharmacy
Authorized official Choi, Diana
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 21st, 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 1639180227 NPPES
Other 2143869 PK

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