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
Fax: (714) 486-1027
Website:
Authorized official contact:
Name: Benjamin, Genevieve PHARM D

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467834580 NPPES
Other 2152982 PK

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