Los Coyotes Drug

LBN: Suburban Drug Co A Corp
Los Coyotes Drug is an health care organization with primary practice located at 10572 Calle Lee Ste 138 , Los Alamitos CA 90720-8541. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Suburban Drug Co A Corp can be contacted via phone (562) 420-1480, or through Rosenbaum, Jerrold Lee via phone (562) 420-1480.

Contact Information

Primary practice address
10572 Calle Lee Ste 138 Los Alamitos CA 90720-8541
Fax: (866) 859-1508
Website:
Authorized official contact:
Name: Rosenbaum, Jerrold Lee PHARM. D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHY55814 California

Profile Details

NPI number 1144392226
LBN Legal business name Suburban Drug Co A Corp
DBA Doing business as Los Coyotes Drug
Authorized official Rosenbaum, Jerrold Lee PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 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 1144392226 NPPES
California Other 0510190 NCPDP#
California MEDICAID PHY55814 NCPDP#

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