Mesa Verde Pharmacy

LBN: St Cyril Inc
Mesa Verde Pharmacy is an health care organization with primary practice located at 1525 Mesa Verde Dr E Ste 101 , Costa Mesa CA 92626-5221. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. St Cyril Inc can be contacted via phone (714) 884-3574, or through Benjamin, Genevieve via phone (714) 576-5875.

Contact Information

Primary practice address
1525 Mesa Verde Dr E Ste 101 Costa Mesa CA 92626-5221
Phone: (714) 884-3574
Fax: (714) 486-1027
Website:
Map and Directions
Authorized official contact:
Name: Benjamin, Genevieve
Phone: (714) 576-5875

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY56036 California

Profile Details

NPI number 1295225126
LBN Legal business name St Cyril Inc
DBA Doing business as Mesa Verde Pharmacy
Authorized official Benjamin, Genevieve
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2018
Last updated Jul 19th, 2018 - about 6 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 1295225126 NPPES
Other 2177690 PK

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