Civic Center Pharmacy

LBN: Speck Pharmacy Inc
Civic Center Pharmacy is an health care organization with primary practice located at 2729 Macdonald Ave , Richmond CA 94804-3006. 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. Speck Pharmacy Inc can be contacted via phone (510) 234-5023, or through Speck, Edward via phone (510) 234-5023.

Contact Information

Primary practice address
2729 Macdonald Ave Richmond CA 94804-3006
Phone: (510) 234-5023
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Speck, Edward RPH PIC
Phone: (510) 234-5023

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY41099 California

Profile Details

NPI number 1447240007
LBN Legal business name Speck Pharmacy Inc
DBA Doing business as Civic Center Pharmacy
Authorized official Speck, Edward RPH PIC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Aug 31st, 2007 - about 18 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 1447240007 NPPES
Other 0522157 OTHER ID NUMBER
MEDICAID PHA410990 OTHER ID NUMBER

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