Lake Arrowhead Village Pharmacy

LBN: Lake Arrowhead Village Pharmacy
Lake Arrowhead Village Pharmacy is an health care organization with primary practice located at 28200 St Hwy 189 , Lake Arrowhead CA 92352-9700. 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. Lake Arrowhead Village Pharmacy can be contacted via phone (909) 336-0120, or through Blain, Michelle via phone (909) 336-0120.

Contact Information

Primary practice address
28200 St Hwy 189 Lake Arrowhead CA 92352-9700
Phone: (909) 336-0120
Fax: (909) 336-0140
Website:
Map and Directions
Authorized official contact:
Name: Blain, Michelle
Phone: (909) 336-0120

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46040 California

Profile Details

NPI number 1518034198
LBN Legal business name Lake Arrowhead Village Pharmacy
DBA Doing business as Lake Arrowhead Village Pharmacy
Authorized official Blain, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 25th, 2011 - about 15 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 1518034198 NPPES
Other 0588600 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA460400 NCPDP PROVIDER IDENTIFICATION NUMBER

Popular Providers