El Tejon Pharmacy

LBN: El Tejon Drug Co.
El Tejon Pharmacy is an health care organization with primary practice located at 3544 Mount Pinos Way , Frazier Park CA 93225. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. El Tejon Drug Co. can be contacted via phone (661) 245-1660, or through Stout, Ty via phone (661) 399-2901.

Contact Information

Primary practice address
3544 Mount Pinos Way Frazier Park CA 93225
Phone: (661) 245-1660
Fax: (661) 245-1664
Website:
Map and Directions
Authorized official contact:
Name: Stout, Ty
Phone: (661) 399-2901

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY55624 California

Profile Details

NPI number 1992235402
LBN Legal business name El Tejon Drug Co.
DBA Doing business as El Tejon Pharmacy
Authorized official Stout, Ty
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2017
Last updated Jun 15th, 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 1992235402 NPPES
Other 2169878 PK
MEDICAID 1992235402 PK

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