San Juan Pharmacy

LBN: San Juan Pharmacy
San Juan Pharmacy is an health care organization with primary practice located at 31901 Camino Capistrano Suite #8, San Juan Capistrano CA 92675-3238. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. San Juan Pharmacy can be contacted via phone (949) 493-4559, or through Suh, John via phone (949) 493-4559.

Contact Information

Primary practice address
31901 Camino Capistrano Suite #8 San Juan Capistrano CA 92675-3238
Fax: (949) 493-8247
Website:
Authorized official contact:
Name: Suh, John

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X California
Suppliers / Pharmacy 333600000X California
Suppliers / Community/Retail Pharmacy 3336C0003X California
Suppliers / Compounding Pharmacy 3336C0004X California

Profile Details

NPI number 1295837003
LBN Legal business name San Juan Pharmacy
DBA Doing business as San Juan Pharmacy
Authorized official Suh, John
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Sep 20th, 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 1295837003 NPPES
California MEDICAID PHA410280

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