Hesperia La Salle Pharmacy

LBN: Hesperia La Salle Pharmacy
Hesperia La Salle Pharmacy is an health care organization with primary practice located at 16455 Main St #8, Hesperia CA 92345. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Hesperia La Salle Pharmacy can be contacted via phone (760) 956-2270, or through Kim, Young S via phone (760) 956-2270.

Contact Information

Primary practice address
16455 Main St #8 Hesperia CA 92345
Phone: (760) 956-2270
Fax: (760) 956-7093
Website:
Map and Directions
Authorized official contact:
Name: Kim, Young S
Phone: (760) 956-2270

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY 43984 California

Profile Details

NPI number 1205997947
LBN Legal business name Hesperia La Salle Pharmacy
DBA Doing business as
Authorized official Kim, Young S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 31st, 2010 - about 16 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 1205997947 NPPES
California MEDICAID PHA439850

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