<Unavail>

LBN: David Loth
<Unavail> is an health care organization with primary practice located at 1782 W Hammer Ln , Stockton CA 95209-2922. 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. David Loth can be contacted via phone (669) 999-6870, or through Loth, David via phone (669) 999-6870.

Contact Information

Primary practice address
1782 W Hammer Ln Stockton CA 95209-2922
Phone: (669) 999-6870
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Loth, David
Phone: (669) 999-6870

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54414 California

Profile Details

NPI number 1487108015
LBN Legal business name David Loth
DBA Doing business as <Unavail>
Authorized official Loth, David
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2016
Last updated Sep 21st, 2016 - about 10 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 1487108015 NPPES
Other 2163597 PK

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