Skyridge Pharmacy
LBN: Skyridge Pharmacy
Skyridge Pharmacy is an health care organization with primary practice located at 601 Auburn Folsom Rd , Auburn CA 95603-5623. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Skyridge Pharmacy can be contacted via phone (530) 885-3739, or through Husak, Thomas via phone (530) 885-3739.
Contact Information
Primary practice address
601 Auburn Folsom Rd
Auburn CA 95603-5623
Phone: (530) 885-3739
Fax: (530) 885-1380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHY21812 | California |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1346469640 |
|---|---|
| LBN Legal business name | Skyridge Pharmacy |
| DBA Doing business as | |
| Authorized official | Husak, Thomas RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1346469640 | NPPES |
| Other | 0551792 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | PHA218120 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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