Orange Grove Pharmacy

LBN: Bristol Drug Co Inc
Orange Grove Pharmacy is an health care organization with primary practice located at 1770 N Orange Grove Ave Ste 100 , Pomona CA 91767-3027. 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. Bristol Drug Co Inc can be contacted via phone (909) 623-6429, or through Lim, David via phone (909) 623-6429.

Contact Information

Primary practice address
1770 N Orange Grove Ave Ste 100 Pomona CA 91767-3027
Phone: (909) 623-6429
Fax: (909) 623-3539
Website:
Map and Directions
Authorized official contact:
Name: Lim, David
Phone: (909) 623-6429

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY50805 California

Profile Details

NPI number 1922000546
LBN Legal business name Bristol Drug Co Inc
DBA Doing business as Orange Grove Pharmacy
Authorized official Lim, David
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 19th, 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 1922000546 NPPES
Other 2133858 PK
MEDICAID 1922000546 PK

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