Cantwell Medical Pharmacy Inc

LBN: Cantwell Medical Pharmacy Inc
Cantwell Medical Pharmacy Inc is an health care organization with primary practice located at 931 Buena Vista St Ste 104, Duarte CA 91010-1712. 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. Cantwell Medical Pharmacy Inc can be contacted via phone (626) 357-9959, or through Honda, Aric via phone (626) 357-9959.

Contact Information

Primary practice address
931 Buena Vista St Ste 104 Duarte CA 91010-1712
Phone: (626) 357-9959
Fax: (626) 305-6608
Website:
Map and Directions
Authorized official contact:
Name: Honda, Aric
Phone: (626) 357-9959

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY32531 California

Profile Details

NPI number 1609945559
LBN Legal business name Cantwell Medical Pharmacy Inc
DBA Doing business as Cantwell Medical Pharmacy Inc
Authorized official Honda, Aric
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 7th, 2011 - about 15 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 1609945559 NPPES
Other 0574360 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA325310 NCPDP PROVIDER IDENTIFICATION NUMBER

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