Dba Hillside Pharmacy

LBN: Marina Pharmacy Inc.
Dba Hillside Pharmacy is an health care organization with primary practice located at 1145 Artesia Blvd , Manhattan Beach CA 90266-6900. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Marina Pharmacy Inc. can be contacted via phone (310) 376-9456, or through Otto, Ronald Keith via phone (310) 376-9456.

Contact Information

Primary practice address
1145 Artesia Blvd Manhattan Beach CA 90266-6900
Phone: (310) 376-9456
Fax: (310) 376-6026
Website:
Map and Directions
Authorized official contact:
Name: Otto, Ronald Keith PHARM.D.
Phone: (310) 376-9456

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY45093 California

Profile Details

NPI number 1134119423
LBN Legal business name Marina Pharmacy Inc.
DBA Doing business as Dba Hillside Pharmacy
Authorized official Otto, Ronald Keith PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 26th, 2008 - about 18 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 1134119423 NPPES
California MEDICAID PHA450930

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