Leo'S Medical Center Pharmacy

LBN: Dynamedic Drugs Inc
Leo'S Medical Center Pharmacy is an health care organization with primary practice located at 411 30Th St , Oakland CA 94609-3303. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Dynamedic Drugs Inc can be contacted via phone (510) 834-3100, or through Bui, Larry T via phone (510) 839-7900.

Contact Information

Primary practice address
411 30Th St Oakland CA 94609-3303
Phone: (510) 834-3100
Fax: (510) 834-2988
Website:
Map and Directions
Authorized official contact:
Name: Bui, Larry T
Phone: (510) 839-7900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY47437 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47437 California

Profile Details

NPI number 1154312551
LBN Legal business name Dynamedic Drugs Inc
DBA Doing business as Leo'S Medical Center Pharmacy
Authorized official Bui, Larry T
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 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 1154312551 NPPES
California MEDICAID PHA474370

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