Centurywood Medical Pharmacy

LBN: Quali-Care Health Corporation
Centurywood Medical Pharmacy is an health care organization with primary practice located at 3737 Martin Luther King Jr Blvd Suite 101, Lynwood CA 90262-3513. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Quali-Care Health Corporation can be contacted via phone (310) 537-1440, or through Horne, Khanh via phone (310) 537-1440.

Contact Information

Primary practice address
3737 Martin Luther King Jr Blvd Suite 101 Lynwood CA 90262-3513
Phone: (310) 537-1440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Horne, Khanh
Phone: (310) 537-1440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY49113 California

Profile Details

NPI number 1295818342
LBN Legal business name Quali-Care Health Corporation
DBA Doing business as Centurywood Medical Pharmacy
Authorized official Horne, Khanh
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Nov 4th, 2010 - about 16 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 1295818342 NPPES
California MEDICAID 1295818342
California Other 0572342

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