Bear Creek Pharmacy
LBN: Bear Creek Pharmacy
Bear Creek Pharmacy is an health care organization with primary practice located at 36243 Inland Valley Dr Ste 130, Wildomar CA 92595-9549. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Bear Creek Pharmacy can be contacted via phone (951) 677-4880, or through Coats, Larry via phone (951) 677-4886.
Contact Information
Primary practice address
36243 Inland Valley Dr Ste 130
Wildomar CA 92595-9549
Phone: (951) 677-4880
Fax: (951) 698-4392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY43284 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1336150820 |
|---|---|
| LBN Legal business name | Bear Creek Pharmacy |
| DBA Doing business as | |
| Authorized official | Coats, Larry RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336150820 | NPPES |
| Other | 0597990 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | PHA432840 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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