Procare Pharmacy

LBN: Shelat Enterprise Incorporated
Procare Pharmacy is an health care organization with primary practice located at 25405 Hancock Ave Ste 100, Murrieta CA 92562-5982. 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. Shelat Enterprise Incorporated can be contacted via phone (951) 304-2038, or through Stelat, Vijay via phone (951) 304-2038.

Contact Information

Primary practice address
25405 Hancock Ave Ste 100 Murrieta CA 92562-5982
Fax: (951) 304-2068
Website:
Authorized official contact:
Name: Stelat, Vijay PHARMACIST

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46937 California

Profile Details

NPI number 1023107703
LBN Legal business name Shelat Enterprise Incorporated
DBA Doing business as Procare Pharmacy
Authorized official Stelat, Vijay PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 20th, 2017 - about 7 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 1023107703 NPPES
California MEDICAID PHA469370
California Other 2005078

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