Disco Rex Pharmacy
LBN: Disco Rex Pharmacy Inc
Disco Rex Pharmacy is an health care organization with primary practice located at 328 University Ave , Palo Alto CA 94301-1715. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Disco Rex Pharmacy Inc can be contacted via phone (650) 326-3873, or through Lai, Yu Fun Thomas via phone (650) 326-3873.
Contact Information
Primary practice address
328 University Ave
Palo Alto CA 94301-1715
Phone: (650) 326-3873
Fax: (650) 326-0403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | PHY33116 | California |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1942304993 |
|---|---|
| LBN Legal business name | Disco Rex Pharmacy Inc |
| DBA Doing business as | Disco Rex Pharmacy |
| Authorized official | Lai, Yu Fun Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Oct 9th, 2007 - about 19 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 | 1942304993 | NPPES |
| California | MEDICAID | PHA331160 | |
| California | Other | 0540357 | |
| California | Other | 0540357 |
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