<Unavail>

LBN: Puresource Advanced Inc
<Unavail> is an health care organization with primary practice located at 10630 Sepulveda Blvd Ste 101, Mission Hills CA 91345-1938. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Puresource Advanced Inc can be contacted via phone (818) 639-0108, or through Luskin, Laura via phone (818) 639-0108.

Contact Information

Primary practice address
10630 Sepulveda Blvd Ste 101 Mission Hills CA 91345-1938
Phone: (818) 639-0108
Fax: (818) 639-0118
Website:
Map and Directions
Authorized official contact:
Name: Luskin, Laura
Phone: (818) 639-0108

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 55664 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1528517547
LBN Legal business name Puresource Advanced Inc
DBA Doing business as <Unavail>
Authorized official Luskin, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2016
Last updated Jul 12th, 2022 - about 4 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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