Ihc Santa Ysabel Pharmacy

LBN: Ihc Santa Ysabel Pharmacy
Ihc Santa Ysabel Pharmacy is an health care organization with primary practice located at 110 1/2 School House Canyon Road , Santa Ysabel CA 92070. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Ihc Santa Ysabel Pharmacy can be contacted via phone (760) 233-5587, or through Schostag, Robert via phone (760) 749-1410.

Contact Information

Primary practice address
110 1/2 School House Canyon Road Santa Ysabel CA 92070
Phone: (760) 233-5587
Fax: (760) 765-3769
Website:
Map and Directions
Authorized official contact:
Name: Schostag, Robert
Phone: (760) 749-1410

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHY46552 California

Profile Details

NPI number 1407252588
LBN Legal business name Ihc Santa Ysabel Pharmacy
DBA Doing business as Ihc Santa Ysabel Pharmacy
Authorized official Schostag, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2014
Last updated Nov 17th, 2014 - about 12 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 1407252588 NPPES
Other 2148638 PK

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