Poway Pharmacy

LBN: Poway Pharmacy Llc
Poway Pharmacy is an health care organization with primary practice located at 14837 Pomerado Rd , Poway CA 92064-2803. 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. Poway Pharmacy Llc can be contacted via phone (858) 842-4206, or through Rouzitalab, Gholam via phone (858) 842-4206.

Contact Information

Primary practice address
14837 Pomerado Rd Poway CA 92064-2803
Fax: (951) 674-9773
Website:
Authorized official contact:
Name: Rouzitalab, Gholam PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 55623 California

Profile Details

NPI number 1831613793
LBN Legal business name Poway Pharmacy Llc
DBA Doing business as Poway Pharmacy
Authorized official Rouzitalab, Gholam PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2017
Last updated Mar 13th, 2018 - about 8 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 1831613793 NPPES
Other 2170472 PK

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