Pleasanton Custom Care Pharmacy

LBN: Alisal Drug Stores Inc
Pleasanton Custom Care Pharmacy is an health care organization with primary practice located at 4271 1St St , Pleasanton CA 94566-7123. 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. Alisal Drug Stores Inc can be contacted via phone (925) 846-4455, or through Woeger, Regina via phone (925) 864-4455.

Contact Information

Primary practice address
4271 1St St Pleasanton CA 94566-7123
Phone: (925) 846-4455
Fax: (925) 846-2635
Website:
Map and Directions
Authorized official contact:
Name: Woeger, Regina
Phone: (925) 864-4455

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY35651 California

Profile Details

NPI number 1790796373
LBN Legal business name Alisal Drug Stores Inc
DBA Doing business as Pleasanton Custom Care Pharmacy
Authorized official Woeger, Regina
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 8th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790796373 NPPES
California MEDICAID PHA356510
California Other 1996637

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