South Bay Drugs

LBN: Shawki Bachoua
South Bay Drugs is an health care organization with primary practice located at 779 Palm Ave , Imperial Beach CA 91932-1234. 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. Shawki Bachoua can be contacted via phone (619) 424-5164, or through Bachoua, Shawki via phone (619) 424-5559.

Contact Information

Primary practice address
779 Palm Ave Imperial Beach CA 91932-1234
Phone: (619) 424-5164
Fax: (619) 423-8492
Website:
Map and Directions
Authorized official contact:
Name: Bachoua, Shawki
Phone: (619) 424-5559

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY43632 California

Profile Details

NPI number 1417968090
LBN Legal business name Shawki Bachoua
DBA Doing business as South Bay Drugs
Authorized official Bachoua, Shawki
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 10th, 2009 - about 15 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 1417968090 NPPES
California MEDICAID PHA436320
California Other 0534001

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