<Unavail>

LBN: Good Samaritan Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 629 W Covina Blvd , San Dimas CA 91773-2913. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Good Samaritan Pharmacy Inc can be contacted via phone (909) 305-0358, or through Bunagan, Mylene via phone (909) 305-0358.

Contact Information

Primary practice address
629 W Covina Blvd San Dimas CA 91773-2913
Phone: (909) 305-0358
Fax: (909) 394-5649
Website:
Map and Directions
Authorized official contact:
Name: Bunagan, Mylene
Phone: (909) 305-0358

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY55628 California

Profile Details

NPI number 1538231311
LBN Legal business name Good Samaritan Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Bunagan, Mylene
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 19th, 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 1538231311 NPPES
Other 2169225 PK

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