Center Professional Pharmacy

LBN: Ridgecrest Regional Hospital
Center Professional Pharmacy is an health care organization with primary practice located at 1109 N China Lake Blvd , Ridgecrest CA 93555-3131. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ridgecrest Regional Hospital can be contacted via phone (760) 446-4141, or through Furtado, Joseph via phone (760) 446-4141.

Contact Information

Primary practice address
1109 N China Lake Blvd Ridgecrest CA 93555-3131
Fax: (760) 446-4600
Website:
Authorized official contact:
Name: Furtado, Joseph PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 53935 California
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1790811289
LBN Legal business name Ridgecrest Regional Hospital
DBA Doing business as Center Professional Pharmacy
Authorized official Furtado, Joseph PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 10th, 2020 - about 4 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 1790811289 NPPES
California MEDICAID 1790811289
California Other 2162070

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