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 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
St Cyril Inc can be contacted via phone (714) 884-3574, or through Benjamin, Genevieve via phone (949) 293-9857.
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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY56036 | California |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1467834580 |
|---|---|
| LBN Legal business name | St Cyril Inc |
| DBA Doing business as | Mesa Verde Pharmacy |
| Authorized official | Benjamin, Genevieve PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2015 |
| Last updated | Feb 8th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467834580 | NPPES |
| Other | 2152982 | PK |
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