St Antony Pharmacy

LBN: St. Antony Pharmacy Inc.
St Antony Pharmacy is an health care organization with primary practice located at 310 E Grand Ave Ste 105 , El Segundo CA 90245-3871. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St. Antony Pharmacy Inc. can be contacted via phone (310) 524-9244, or through Michael, Emad via phone (310) 524-9244.

Contact Information

Primary practice address
310 E Grand Ave Ste 105 El Segundo CA 90245-3871
Phone: (310) 524-9244
Fax: (310) 524-9592
Website:
Map and Directions
Authorized official contact:
Name: Michael, Emad
Phone: (310) 524-9244

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609822519
LBN Legal business name St. Antony Pharmacy Inc.
DBA Doing business as St Antony Pharmacy
Authorized official Michael, Emad
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Mar 8th, 2022 - about 2 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 1609822519 NPPES
California MEDICAID PHA475230

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