Indio Medical Pharmacy

LBN: I M B Enterprises
Indio Medical Pharmacy is an health care organization with primary practice located at 81893 Dr Carreon Blvd Ste 7, Indio CA 92201-0604. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. I M B Enterprises can be contacted via phone (760) 347-0659, or through Kan, Wayne via phone (760) 347-0659.

Contact Information

Primary practice address
81893 Dr Carreon Blvd Ste 7 Indio CA 92201-0604
Phone: (760) 347-0659
Fax: (760) 347-5972
Website:
Map and Directions
Authorized official contact:
Name: Kan, Wayne
Phone: (760) 347-0659

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY21267 California

Profile Details

NPI number 1851348643
LBN Legal business name I M B Enterprises
DBA Doing business as Indio Medical Pharmacy
Authorized official Kan, Wayne
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Dec 8th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851348643 NPPES
Other 2000923 PK
MEDICAID PHA212670 PK

Popular Providers