Imperial Beach Pharmacy Llc

LBN: Imperial Beach Pharmacy Llc
Imperial Beach Pharmacy Llc is an health care organization with primary practice located at 1530 Palm Ave , San Diego CA 92154-1016. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Imperial Beach Pharmacy Llc can be contacted via phone (619) 343-0095, or through Koyani, Prashant Amrutlal via phone (619) 343-0095.

Contact Information

Primary practice address
1530 Palm Ave San Diego CA 92154-1016
Phone: (619) 343-0095
Fax: (619) 830-4590
Website:
Map and Directions
Authorized official contact:
Name: Koyani, Prashant Amrutlal
Phone: (619) 343-0095

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1134038953
LBN Legal business name Imperial Beach Pharmacy Llc
DBA Doing business as
Authorized official Koyani, Prashant Amrutlal
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2026
Last updated Sep 8th, 2026 - about 2 months 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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