San Antonio Infusion Pharmacy

LBN: San Antonio Infusion Pharmacy
San Antonio Infusion Pharmacy is an health care organization with primary practice located at 105 W B St , Ontario CA 91762-3502. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. San Antonio Infusion Pharmacy can be contacted via phone (909) 988-0591, or through Scorsatto, Allen via phone (909) 984-7132.

Contact Information

Primary practice address
105 W B St Ontario CA 91762-3502
Phone: (909) 988-0591
Fax: (909) 988-0891
Website:
Map and Directions
Authorized official contact:
Name: Scorsatto, Allen
Phone: (909) 984-7132

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY48866 California

Profile Details

NPI number 1669513529
LBN Legal business name San Antonio Infusion Pharmacy
DBA Doing business as
Authorized official Scorsatto, Allen
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jun 11th, 2008 - about 16 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 1669513529 NPPES
Other 0537247 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 0537247 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1669513529 OTHER ID NUMBER-COMMERCIAL NUMBER

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