Kenneth Road Pharmacy
LBN: Sanders Drug Co Inc
Kenneth Road Pharmacy is an health care organization with primary practice located at 1400 W Kenneth Rd , Glendale CA 91201-1422. 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.
Sanders Drug Co Inc can be contacted via phone (818) 242-5259, or through Pallares, Oscar via phone (818) 242-5259.
Contact Information
Primary practice address
1400 W Kenneth Rd
Glendale CA 91201-1422
Phone: (818) 242-5259
Fax: (818) 247-8593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY94460 | California |
Profile Details
| NPI number | 1144365776 |
|---|---|
| LBN Legal business name | Sanders Drug Co Inc |
| DBA Doing business as | Kenneth Road Pharmacy |
| Authorized official | Pallares, Oscar PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Sep 12th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144365776 | NPPES |
| Other | 0533198 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | PHA94460 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 0533198 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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