Moulton Plaza Pharmacy

LBN: Dreyfus Enterprises
Moulton Plaza Pharmacy is an health care organization with primary practice located at 23665 Moulton Pkwy Ste A, Laguna Hills CA 92653-1937. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Dreyfus Enterprises can be contacted via phone (949) 768-5700, or through Dreyfus, Gary A via phone (949) 768-5700.

Contact Information

Primary practice address
23665 Moulton Pkwy Ste A Laguna Hills CA 92653-1937
Phone: (949) 768-5700
Fax: (949) 768-1359
Website:
Map and Directions
Authorized official contact:
Name: Dreyfus, Gary A
Phone: (949) 768-5700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 819437 California

Profile Details

NPI number 1336146935
LBN Legal business name Dreyfus Enterprises
DBA Doing business as Moulton Plaza Pharmacy
Authorized official Dreyfus, Gary A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1336146935 NPPES
California MEDICAID PHA194370

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