Imperial Beach Pharmacy

LBN: Solara Medical Supplies, Llc
Imperial Beach Pharmacy is an health care organization with primary practice located at 720 Hwy 75 , Imperial Beach CA 91932. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Solara Medical Supplies, Llc can be contacted via phone (619) 424-8143, or through Robinson, Tod Jeffrey via phone (858) 259-8287.

Contact Information

Primary practice address
720 Hwy 75 Imperial Beach CA 91932
Phone: (619) 424-8143
Fax: (619) 424-8652
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Tod Jeffrey
Phone: (858) 259-8287

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY46235 California

Profile Details

NPI number 1154306231
LBN Legal business name Solara Medical Supplies, Llc
DBA Doing business as Imperial Beach Pharmacy
Authorized official Robinson, Tod Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2005
Last updated Jun 19th, 2018 - 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 1154306231 NPPES
California MEDICAID PHA462350

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