Myers Apothecary Shop

LBN: Thomas D Reidenbach
Myers Apothecary Shop is an health care organization with primary practice located at 238 Hospital Dr Ste A , Ukiah CA 95482-4559. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Thomas D Reidenbach can be contacted via phone (707) 468-8991, or through Reidenbach, Thomas Dale via phone (707) 468-8991.

Contact Information

Primary practice address
238 Hospital Dr Ste A Ukiah CA 95482-4559
Phone: (707) 468-8991
Fax: (707) 468-5272
Website:
Map and Directions
Authorized official contact:
Name: Reidenbach, Thomas Dale
Phone: (707) 468-8991

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY442640 California

Profile Details

NPI number 1629158308
LBN Legal business name Thomas D Reidenbach
DBA Doing business as Myers Apothecary Shop
Authorized official Reidenbach, Thomas Dale
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 1st, 2010 - about 14 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 1629158308 NPPES
California MEDICAID PHY442640

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