<Unavail>

LBN: Enderts Drug Store Inc
<Unavail> is an health care organization with primary practice located at 783 3Rd St , Crescent City CA 95531-4316. 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. Enderts Drug Store Inc can be contacted via phone (707) 464-4101, or through Nichols, Tom via phone (707) 464-3532.

Contact Information

Primary practice address
783 3Rd St Crescent City CA 95531-4316
Phone: (707) 464-4101
Fax: (707) 464-7018
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Tom RPH
Phone: (707) 464-3532

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY35933 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568556967
LBN Legal business name Enderts Drug Store Inc
DBA Doing business as <Unavail>
Authorized official Nichols, Tom RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568556967 NPPES
Other 0531005 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA359330 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers