Visalia Pharmacy
LBN: Visalia Pharmacy Inc
Visalia Pharmacy is an health care organization with primary practice located at 444 Nw 3Rd Ave , Visalia CA 93291-3624. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Visalia Pharmacy Inc can be contacted via phone (559) 667-9292, or through Mansour, Hany via phone (559) 667-9292.
Contact Information
Primary practice address
444 Nw 3Rd Ave
Visalia CA 93291-3624
Phone: (559) 667-9292
Fax: (559) 667-9293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1881232213 |
|---|---|
| LBN Legal business name | Visalia Pharmacy Inc |
| DBA Doing business as | Visalia Pharmacy |
| Authorized official | Mansour, Hany DR |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2019 |
| Last updated | Jun 2nd, 2020 - about 4 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 | 1881232213 | NPPES |
| California | MEDICAID | 2056FQ6S |
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