<Unavail>

LBN: Good Samaritan Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 8137 Malachite Ave Ste A , Rancho Cucamonga CA 91730-3571. 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) 774-1115, or through Bunagan, Mylene via phone (909) 774-1115.

Contact Information

Primary practice address
8137 Malachite Ave Ste A Rancho Cucamonga CA 91730-3571
Phone: (909) 774-1115
Fax: (909) 774-1118
Website:
Map and Directions
Authorized official contact:
Name: Bunagan, Mylene
Phone: (909) 774-1115

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 56061 California

Profile Details

NPI number 1548778723
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 Jan 22nd, 2018
Last updated May 3rd, 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 1548778723 NPPES
Other 2175562 PK

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