<Unavail>

LBN: Central Valley Longterm Care Pharmacy, Inc.
<Unavail> is an health care organization with primary practice located at 500 N Garden Street Ste 4, Visalia CA 93291-5067. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Central Valley Longterm Care Pharmacy, Inc. can be contacted via phone (559) 635-2674, or through Wolfe, Bonnie J via phone (559) 635-2674.

Contact Information

Primary practice address
500 N Garden Street Ste 4 Visalia CA 93291-5067
Phone: (559) 635-2674
Fax: (559) 635-2681
Website:
Map and Directions
Authorized official contact:
Name: Wolfe, Bonnie J
Phone: (559) 635-2674

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY44580 California
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1376640110
LBN Legal business name Central Valley Longterm Care Pharmacy, Inc.
DBA Doing business as <Unavail>
Authorized official Wolfe, Bonnie J
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2006
Last updated May 3rd, 2024 - about 2 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 1376640110 NPPES
California MEDICAID PHA445800
California Other 2094390

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