Theo Pharmacy

LBN: Theo Pharmaceuticals Inc
Theo Pharmacy is an health care organization with primary practice located at 13701 Beach Blvd Ste A2, Westminster CA 92683-3201. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Theo Pharmaceuticals Inc can be contacted via phone (714) 373-0214, or through Tammabattula, Rakesh via phone (347) 515-6789.

Contact Information

Primary practice address
13701 Beach Blvd Ste A2 Westminster CA 92683-3201
Fax: (714) 373-0839
Website:
Authorized official contact:
Name: Tammabattula, Rakesh

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 265225 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X NP000794 Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X NRP.022668450-03 Ohio
Suppliers / Community/Retail Pharmacy 3336C0003X PHY53900 California
Suppliers / Community/Retail Pharmacy 3336C0003X PH03678 Nevada
Suppliers / Mail Order Pharmacy 3336M0002X PH30490 Florida

Profile Details

NPI number 1073931887
LBN Legal business name Theo Pharmaceuticals Inc
DBA Doing business as Theo Pharmacy
Authorized official Tammabattula, Rakesh
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2014
Last updated Mar 1st, 2017 - about 7 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 1073931887 NPPES
California MEDICAID 8968740
California Other 2162079

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