Alta Vista Pharmacy

LBN: Vista Pharmacies, Inc
Alta Vista Pharmacy is an health care organization with primary practice located at 9625 Monte Vista Ave Ste 108, Montclair CA 91763-2234. 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. Vista Pharmacies, Inc can be contacted via phone (909) 626-4315, or through Le, San via phone (909) 626-4315.

Contact Information

Primary practice address
9625 Monte Vista Ave Ste 108 Montclair CA 91763-2234
Phone: (909) 626-4315
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Le, San PHARMD
Phone: (909) 626-4315

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY44318 California

Profile Details

NPI number 1306940358
LBN Legal business name Vista Pharmacies, Inc
DBA Doing business as Alta Vista Pharmacy
Authorized official Le, San PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Dec 20th, 2016 - about 9 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 1306940358 NPPES
Other 1989177 PK
MEDICAID PHA443180 PK

Popular Providers