Leo'S Lakeside Pharmacy

LBN: Archana Corporation
Leo'S Lakeside Pharmacy is an health care organization with primary practice located at 9943 Maine Ave , Lakeside CA 92040-3107. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Archana Corporation can be contacted via phone (619) 443-1013, or through Rakholia, Ramesh via phone (619) 287-7697.

Contact Information

Primary practice address
9943 Maine Ave Lakeside CA 92040-3107
Phone: (619) 443-1013
Fax: (619) 443-8517
Website:
Map and Directions
Authorized official contact:
Name: Rakholia, Ramesh B. PHARM
Phone: (619) 287-7697

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 50422 California
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1811048069
LBN Legal business name Archana Corporation
DBA Doing business as Leo'S Lakeside Pharmacy
Authorized official Rakholia, Ramesh B. PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Apr 5th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811048069 NPPES
Other 2127309 PK
MEDICAID 1811048069 03 PK

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