Fountain Valley Cancer Center Pharmacy

LBN: Fountain Valley Cancer Center Pharmacy
Fountain Valley Cancer Center Pharmacy is an health care organization with primary practice located at 11190 Warner Ave Suite 111, Fountain Valley CA 92708-4019. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Fountain Valley Cancer Center Pharmacy can be contacted via phone (714) 979-3784, or through Horwitz, Marc Louis via phone (714) 979-3784.

Contact Information

Primary practice address
11190 Warner Ave Suite 111 Fountain Valley CA 92708-4019
Phone: (714) 979-3784
Fax: (714) 436-9217
Website:
Map and Directions
Authorized official contact:
Name: Horwitz, Marc Louis R.PH.
Phone: (714) 979-3784

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY43274 California

Profile Details

NPI number 1275684474
LBN Legal business name Fountain Valley Cancer Center Pharmacy
DBA Doing business as
Authorized official Horwitz, Marc Louis R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Apr 1st, 2011 - about 15 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 1275684474 NPPES
California MEDICAID PHA432740

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