Zinfandel Pharmacy Inc

LBN: Zinfandel Pharmacy Inc
Zinfandel Pharmacy Inc is an health care organization with primary practice located at 1995 Zinfandel Dr Ste 101, Rancho Cordova CA 95670-2862. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Zinfandel Pharmacy Inc can be contacted via phone (916) 631-4440, or through Pham, Kim N. via phone (916) 631-4440.

Contact Information

Primary practice address
1995 Zinfandel Dr Ste 101 Rancho Cordova CA 95670-2862
Phone: (916) 631-4440
Fax: (916) 635-1024
Website:
Map and Directions
Authorized official contact:
Name: Pham, Kim N. PHARM D
Phone: (916) 631-4440

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X PHY46527 California

Profile Details

NPI number 1730185828
LBN Legal business name Zinfandel Pharmacy Inc
DBA Doing business as
Authorized official Pham, Kim N. PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730185828 NPPES
California MEDICAID PHA308967

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