<Unavail>
LBN: Michael T Peters
<Unavail> is an health care organization with primary practice located at 1919 Vista Del Lago Dr Ste 6, Valley Springs CA 95252-9294. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Michael T Peters can be contacted via phone (209) 772-1633, or through Peters, Michael via phone (209) 473-1762.
Contact Information
Primary practice address
1919 Vista Del Lago Dr Ste 6
Valley Springs CA 95252-9294
Phone: (209) 772-1633
Fax: (209) 772-1676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49019 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1720244353 |
|---|---|
| LBN Legal business name | Michael T Peters |
| DBA Doing business as | <Unavail> |
| Authorized official | Peters, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2008 |
| Last updated | Jun 29th, 2009 - about 17 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 | 1720244353 | NPPES |
| Other | 5631191 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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