Blue Rose Pharmacy

LBN: South Gate Rose Phcy Inc
Blue Rose Pharmacy is an health care organization with primary practice located at 8615 Knott Ave Ste 7, Buena Park CA 90620-3841. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. South Gate Rose Phcy Inc can be contacted via phone (714) 952-4978, or through Zamora, Javier via phone (714) 350-3009.

Contact Information

Primary practice address
8615 Knott Ave Ste 7 Buena Park CA 90620-3841
Phone: (714) 952-4978
Fax: (714) 953-6868
Website:
Map and Directions
Authorized official contact:
Name: Zamora, Javier
Phone: (714) 350-3009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47605 California
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1396756805
LBN Legal business name South Gate Rose Phcy Inc
DBA Doing business as Blue Rose Pharmacy
Authorized official Zamora, Javier
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1396756805 NPPES
Other 5622990 OTHER ID NUMBER-COMMERCIAL NUMBER

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