Parkwoods Drug

LBN: Parkwoods Drug
Parkwoods Drug is an health care organization with primary practice located at 104 Lincoln Ctr , Stockton CA 95207. 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. Parkwoods Drug can be contacted via phone (209) 475-1008, or through Peters, Michael via phone (209) 475-1008.

Contact Information

Primary practice address
104 Lincoln Ctr Stockton CA 95207
Phone: (209) 475-1008
Fax: (209) 475-1027
Website:
Map and Directions
Authorized official contact:
Name: Peters, Michael
Phone: (209) 475-1008

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46901 California

Profile Details

NPI number 1114078110
LBN Legal business name Parkwoods Drug
DBA Doing business as
Authorized official Peters, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 26th, 2007 - about 19 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 1114078110 NPPES
Other 5614323 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 5614323 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA46901 OTHER ID NUMBER-COMMERCIAL NUMBER

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