Rancho Pharmacy

LBN: Rancho Pharmacy
Rancho Pharmacy is an health care organization with primary practice located at 1367 E Yosemite Ave , Manteca CA 95336-5003. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rancho Pharmacy can be contacted via phone (209) 823-7658, or through Leinor, Eduard via phone (209) 823-7658.

Contact Information

Primary practice address
1367 E Yosemite Ave Manteca CA 95336-5003
Phone: (209) 823-7658
Fax: (209) 823-8552
Website:
Map and Directions
Authorized official contact:
Name: Leinor, Eduard
Phone: (209) 823-7658

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47157 California

Profile Details

NPI number 1912912544
LBN Legal business name Rancho Pharmacy
DBA Doing business as
Authorized official Leinor, Eduard
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Oct 4th, 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 1912912544 NPPES
Other 0550687 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA471570 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 0550687 OTHER ID NUMBER-COMMERCIAL NUMBER

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