<Unavail>

LBN: Dominguez Pharmacy Lp
<Unavail> is an health care organization with primary practice located at 1175 E Arrow Hwy , Upland CA 91786-5525. 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. Dominguez Pharmacy Lp can be contacted via phone (909) 981-1009, or through Dominguez, Andres via phone (951) 707-5095.

Contact Information

Primary practice address
1175 E Arrow Hwy Upland CA 91786-5525
Phone: (909) 981-1009
Fax: (909) 981-3612
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Andres PHARM D
Phone: (951) 707-5095

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 49930 California

Profile Details

NPI number 1285728683
LBN Legal business name Dominguez Pharmacy Lp
DBA Doing business as <Unavail>
Authorized official Dominguez, Andres PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 18th, 2013 - about 13 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 1285728683 NPPES
California MEDICAID 1285728683
California Other 2120719

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