Progressive Pharmacy, Llc

LBN: Progressive Pharmacy, Llc
Progressive Pharmacy, Llc is an health care organization with primary practice located at 700 17Th St Ste 101 , Modesto CA 95354-1248. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Progressive Pharmacy, Llc can be contacted via phone (209) 857-4778, or through Howard, Marcus H via phone (209) 857-4778.

Contact Information

Primary practice address
700 17Th St Ste 101 Modesto CA 95354-1248
Phone: (209) 857-4778
Fax: (209) 422-6196
Website:
Map and Directions
Authorized official contact:
Name: Howard, Marcus H PHARM.D
Phone: (209) 857-4778

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY55632 California
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1417483389
LBN Legal business name Progressive Pharmacy, Llc
DBA Doing business as
Authorized official Howard, Marcus H PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2017
Last updated Feb 28th, 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 1417483389 NPPES
California Other PHY55632 CALIFORNIA STATE BOARD OF PHARMACY LICENSE

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