Palisades Village Pharmacy
LBN: Thomas Harrison Price
Palisades Village Pharmacy is an health care organization with primary practice located at 881 Alma Real Dr Ste 117, Pacific Palisades CA 90272-3761. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Thomas Harrison Price can be contacted via phone (310) 454-6505, or through Price, Thomas via phone (310) 454-6505.
Contact Information
Primary practice address
881 Alma Real Dr Ste 117
Pacific Palisades CA 90272-3761
Phone: (310) 454-6505
Fax: (310) 459-7352
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY44886 | California |
Profile Details
NPI number | 1467597856 |
---|---|
LBN Legal business name | Thomas Harrison Price |
DBA Doing business as | Palisades Village Pharmacy |
Authorized official | Price, Thomas RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Sep 30th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467597856 | NPPES |
California | MEDICAID | PHA448860 | |
California | Other | 0575211 |
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