South Court Pharmacy

LBN: John D Manuele & Banjamin C Leon
South Court Pharmacy is an health care organization with primary practice located at 1620 S Court St , Visalia CA 93277-4962. 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. John D Manuele & Banjamin C Leon can be contacted via phone (559) 738-8800, or through Leon, Ben via phone (559) 738-8800.

Contact Information

Primary practice address
1620 S Court St Visalia CA 93277-4962
Phone: (559) 738-8800
Fax: (559) 733-2636
Website:
Map and Directions
Authorized official contact:
Name: Leon, Ben
Phone: (559) 738-8800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY39863 California

Profile Details

NPI number 1184635674
LBN Legal business name John D Manuele & Banjamin C Leon
DBA Doing business as South Court Pharmacy
Authorized official Leon, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184635674 NPPES
California MEDICAID PMA367840
California Other 2005149

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