Intra Rx Drugs Lynwood

LBN: Fairveola Banks
Intra Rx Drugs Lynwood is an health care organization with primary practice located at 3628 E Imperial Hwy Ste 102, Lynwood CA 90262-2643. 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. Fairveola Banks can be contacted via phone (310) 637-2006, or through Banks, Bianca via phone (310) 637-2006.

Contact Information

Primary practice address
3628 E Imperial Hwy Ste 102 Lynwood CA 90262-2643
Phone: (310) 637-2006
Fax: (310) 637-2522
Website:
Map and Directions
Authorized official contact:
Name: Banks, Bianca
Phone: (310) 637-2006

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48607 California

Profile Details

NPI number 1285621813
LBN Legal business name Fairveola Banks
DBA Doing business as Intra Rx Drugs Lynwood
Authorized official Banks, Bianca
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 21st, 2017 - about 9 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 1285621813 NPPES
Other 2127503 PK

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