Nipomo Rexall Drugs

LBN: Nipomo Pharmacy Inc
Nipomo Rexall Drugs is an health care organization with primary practice located at 695 W Tefft St Ste A , Nipomo CA 93444-9395. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Nipomo Pharmacy Inc can be contacted via phone (805) 929-1929, or through Rouzitalab, Gholam via phone (805) 929-1929.

Contact Information

Primary practice address
695 W Tefft St Ste A Nipomo CA 93444-9395
Fax: (888) 590-0871
Website:
Authorized official contact:
Name: Rouzitalab, Gholam

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY50681 California

Profile Details

NPI number 1619255544
LBN Legal business name Nipomo Pharmacy Inc
DBA Doing business as Nipomo Rexall Drugs
Authorized official Rouzitalab, Gholam
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2011
Last updated Mar 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619255544 NPPES
California MEDICAID 5641546
California Other 2131346

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