Sycuan Medical Dental Pharmacy
LBN: Sycuan Tribal Government
Sycuan Medical Dental Pharmacy is an health care organization with primary practice located at 5442 Dehesa Rd , El Cajon CA 92019-1816. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sycuan Tribal Government can be contacted via phone (619) 445-3518, or through Falco, Sal via phone (619) 445-0707.
Contact Information
Primary practice address
5442 Dehesa Rd
El Cajon CA 92019-1816
Phone: (619) 445-3518
Fax: (619) 445-5814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHE39873 | California |
Profile Details
| NPI number | 1164553053 |
|---|---|
| LBN Legal business name | Sycuan Tribal Government |
| DBA Doing business as | Sycuan Medical Dental Pharmacy |
| Authorized official | Falco, Sal BS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Apr 6th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164553053 | NPPES |
| Other | 2094469 | PK |
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