Anaheim Pharmacy

LBN: Anaheim Pharmacy, Llc
Anaheim Pharmacy is an health care organization with primary practice located at 1211 W La Palma Ave Ste 102 , Anaheim CA 92801-2809. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Anaheim Pharmacy, Llc can be contacted via phone (714) 442-1141, or through Kim, Jay via phone (714) 442-1141.

Contact Information

Primary practice address
1211 W La Palma Ave Ste 102 Anaheim CA 92801-2809
Phone: (714) 442-1141
Fax: (714) 442-1142
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jay PHARMD
Phone: (714) 442-1141

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1285363556
LBN Legal business name Anaheim Pharmacy, Llc
DBA Doing business as Anaheim Pharmacy
Authorized official Kim, Jay PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2022
Last updated Mar 15th, 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 1285363556 NPPES
California MEDICAID 1285363556

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