Modern Health Pharmacy - Sd

LBN: Modernhealth Holdings Inc
Modern Health Pharmacy - Sd is an health care organization with primary practice located at 13220 Evening Creek Dr S Ste 110, San Diego CA 92128-4103. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Modernhealth Holdings Inc can be contacted via phone (858) 668-3350, or through Chou, Shannon via phone (626) 932-1721.

Contact Information

Primary practice address
13220 Evening Creek Dr S Ste 110 San Diego CA 92128-4103
Phone: (858) 668-3350
Fax: (858) 668-3352
Website:
Map and Directions
Authorized official contact:
Name: Chou, Shannon
Phone: (626) 932-1721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY51002 California

Profile Details

NPI number 1508094558
LBN Legal business name Modernhealth Holdings Inc
DBA Doing business as Modern Health Pharmacy - Sd
Authorized official Chou, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2009
Last updated Apr 19th, 2017 - about 9 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 1508094558 NPPES
Other 2121362 PK
MEDICAID 1508094558 PK

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