Village Pharmacy

LBN: Village Pharmacy Inc
Village Pharmacy is an health care organization with primary practice located at 1225 Rose Ave , Selma CA 93662-3227. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Village Pharmacy Inc can be contacted via phone (559) 891-8955, or through Wong, Shannon via phone (559) 891-8930.

Contact Information

Primary practice address
1225 Rose Ave Selma CA 93662-3227
Phone: (559) 891-8955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wong, Shannon
Phone: (559) 891-8930

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48402 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1831165455
LBN Legal business name Village Pharmacy Inc
DBA Doing business as Village Pharmacy
Authorized official Wong, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Oct 7th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831165455 NPPES
California MEDICAID PHA484020
California Other 5616199

Popular Providers