Foothill Ranch Medical Plaza Pharmacy

LBN: Phan Healthcare Inc
Foothill Ranch Medical Plaza Pharmacy is an health care organization with primary practice located at 26750 Towne Centre Dr Ste C, Foothill Ranch CA 92610-2841. 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. Phan Healthcare Inc can be contacted via phone (949) 586-6337, or through Phan, Tony via phone (949) 586-6337.

Contact Information

Primary practice address
26750 Towne Centre Dr Ste C Foothill Ranch CA 92610-2841
Fax: (949) 586-0133
Website:
Authorized official contact:
Name: Phan, Tony

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 47237 California

Profile Details

NPI number 1740201714
LBN Legal business name Phan Healthcare Inc
DBA Doing business as Foothill Ranch Medical Plaza Pharmacy
Authorized official Phan, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 22nd, 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 1740201714 NPPES
Other 2113691 PK
MEDICAID PHA472370 PK

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