Stockton Pharmacy

LBN: Stockton Pharmacy
Stockton Pharmacy is an health care organization with primary practice located at 3330 E Main St , Stockton CA 95205. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Stockton Pharmacy can be contacted via phone (209) 466-0411, or through Magnasco, Louis via phone (209) 466-0411.

Contact Information

Primary practice address
3330 E Main St Stockton CA 95205
Phone: (209) 466-0411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Magnasco, Louis PHARM D
Phone: (209) 466-0411

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1467513549
LBN Legal business name Stockton Pharmacy
DBA Doing business as
Authorized official Magnasco, Louis PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Sep 5th, 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 1467513549 NPPES
California MEDICAID PHA390570

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