<Unavail>

LBN: Athenolan Pharmaceutical Inc
<Unavail> is an health care organization with primary practice located at 16931 Bushard St , Fountain Valley CA 92708-2819. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Athenolan Pharmaceutical Inc can be contacted via phone (714) 593-5654, or through Zargar, Mahbod via phone (714) 593-5654.

Contact Information

Primary practice address
16931 Bushard St Fountain Valley CA 92708-2819
Phone: (714) 593-5654
Fax: (714) 968-6893
Website:
Map and Directions
Authorized official contact:
Name: Zargar, Mahbod PHARM D
Phone: (714) 593-5654

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1174866529
LBN Legal business name Athenolan Pharmaceutical Inc
DBA Doing business as <Unavail>
Authorized official Zargar, Mahbod PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2013
Last updated Sep 23rd, 2019 - about 7 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 1174866529 NPPES
California Other 56916 BOARD OF PHARMACY PERMIT
California Other 56-47524 BOARD OF PHARMACY PERMIT

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