Excel Specialty Pharmacy

LBN: Excel Specialty Pharmacy Llc
Excel Specialty Pharmacy is an health care organization with primary practice located at 604 N Magnolia Ave Ste 105 , Clovis CA 93611-9205. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Pharmacy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Excel Specialty Pharmacy Llc can be contacted via phone (302) 229-5481, or through Edema, Adeola O via phone (559) 375-1241.

Contact Information

Primary practice address
604 N Magnolia Ave Ste 105 Clovis CA 93611-9205
Phone: (302) 229-5481
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edema, Adeola O
Phone: (559) 375-1241

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1932769684
LBN Legal business name Excel Specialty Pharmacy Llc
DBA Doing business as Excel Specialty Pharmacy
Authorized official Edema, Adeola O
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2019
Last updated Sep 16th, 2021 - about 5 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 1932769684 NPPES
California MEDICAID 1932769684

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