1750 Medical Center Pharmacy

LBN: Oak Grove Pharmacy Inc
1750 Medical Center Pharmacy is an health care organization with primary practice located at 1750 El Camino Real Ste 101 , Burlingame CA 94010-3210. 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. Oak Grove Pharmacy Inc can be contacted via phone (650) 692-1686, or through Padelford, Cathy via phone (650) 692-1686.

Contact Information

Primary practice address
1750 El Camino Real Ste 101 Burlingame CA 94010-3210
Phone: (650) 692-1686
Fax: (650) 692-0859
Website:
Map and Directions
Authorized official contact:
Name: Padelford, Cathy
Phone: (650) 692-1686

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47487 California

Profile Details

NPI number 1336150911
LBN Legal business name Oak Grove Pharmacy Inc
DBA Doing business as 1750 Medical Center Pharmacy
Authorized official Padelford, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 13th, 2016 - about 10 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 1336150911 NPPES
Other 2033127 PK
MEDICAID PHA19638 PK

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