<Unavail>

LBN: Ruhs-Corona Pharmacy
<Unavail> is an health care organization with primary practice located at 2813 S Main St , Corona CA 92882-5942. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ruhs-Corona Pharmacy can be contacted via phone (951) 955-0111, or through Tidwell, Davalyn via phone (951) 486-4527.

Contact Information

Primary practice address
2813 S Main St Corona CA 92882-5942
Phone: (951) 955-0111
Fax: (951) 486-4540
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Davalyn
Phone: (951) 486-4527

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 56092 California
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1235622945
LBN Legal business name Ruhs-Corona Pharmacy
DBA Doing business as <Unavail>
Authorized official Tidwell, Davalyn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2018
Last updated Jun 8th, 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 1235622945 NPPES
Other 2177826 PK

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