Vista Pharmacy
LBN: Kmtv Inc.
Vista Pharmacy is an health care organization with primary practice located at 825 Washington Blvd. Ste. C, Montebello CA 90640-6179. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Kmtv Inc. can be contacted via phone (323) 278-0016, or through Do, Minh via phone (408) 821-7425.
Contact Information
Primary practice address
825 Washington Blvd. Ste. C
Montebello CA 90640-6179
Phone: (323) 278-0016
Fax: (323) 278-0019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 55542 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1427584044 |
|---|---|
| LBN Legal business name | Kmtv Inc. |
| DBA Doing business as | Vista Pharmacy |
| Authorized official | Do, Minh |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2017 |
| Last updated | Apr 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427584044 | NPPES |
| California | MEDICAID | 1427594044 |
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