River'S Edge Pharmacy

LBN: Han Sam Corp
River'S Edge Pharmacy is an health care organization with primary practice located at 36919 Cook St Ste 102 , Palm Desert CA 92211-6069. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Han Sam Corp can be contacted via phone (760) 340-3248, or through Benjamin, Hany via phone (760) 340-3248.

Contact Information

Primary practice address
36919 Cook St Ste 102 Palm Desert CA 92211-6069
Phone: (760) 340-3248
Fax: (760) 340-3258
Website:
Map and Directions
Authorized official contact:
Name: Benjamin, Hany
Phone: (760) 340-3248

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY49157 California
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1689823486
LBN Legal business name Han Sam Corp
DBA Doing business as River'S Edge Pharmacy
Authorized official Benjamin, Hany
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2008
Last updated Dec 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 1689823486 NPPES
California MEDICAID 1689823486
California Other 2117821

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