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:
Map and Directions
Authorized official contact:
Name: Pallares, Oscar PHARMD
Phone: (818) 242-5259

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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