<Unavail>

LBN: American Heritage Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 830 State Highway 88 , Jackson CA 95642. 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. American Heritage Pharmacy Inc can be contacted via phone (209) 697-2000, or through Khudanyan, Adrine via phone (209) 697-2000.

Contact Information

Primary practice address
830 State Highway 88 Jackson CA 95642
Phone: (209) 697-2000
Fax: (209) 697-2222
Website:
Map and Directions
Authorized official contact:
Name: Khudanyan, Adrine
Phone: (209) 697-2000

Health care specialties

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

Profile Details

NPI number 1750094496
LBN Legal business name American Heritage Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Khudanyan, Adrine
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2022
Last updated Nov 20th, 2024 - about 2 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 1750094496 NPPES
California Other PHY59097 BOARD OF PHARMACY

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