Fidelis Specialty Pharmacy

LBN: Fidelis Health Group Llc
Fidelis Specialty Pharmacy is an health care organization with primary practice located at 1002 S Baldwin Ave , Arcadia CA 91007-7234. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Fidelis Health Group Llc can be contacted via phone (626) 447-2138, or through Lemus, Wagner A via phone (702) 815-0800.

Contact Information

Primary practice address
1002 S Baldwin Ave Arcadia CA 91007-7234
Phone: (626) 447-2138
Fax: (626) 447-6433
Website:
Map and Directions
Authorized official contact:
Name: Lemus, Wagner A
Phone: (702) 815-0800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X PHY52510 California

Profile Details

NPI number 1316135569
LBN Legal business name Fidelis Health Group Llc
DBA Doing business as Fidelis Specialty Pharmacy
Authorized official Lemus, Wagner A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2007
Last updated Sep 20th, 2018 - about 8 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 1316135569 NPPES
California MEDICAID 1316135569
California Other 2149274

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