Bear Creek Pharmacy
LBN: Sai Bear Creek Pharmacy Llc
Bear Creek Pharmacy is an health care organization with primary practice located at 24046 Clinton Keith Rd Suite 107, Wildomar CA 92595. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Sai Bear Creek Pharmacy Llc can be contacted via phone (951) 677-4880, or through Gunda, Saisatish via phone (951) 677-4880.
Contact Information
Primary practice address
24046 Clinton Keith Rd Suite 107
Wildomar CA 92595
Phone: (951) 677-4880
Fax: (951) 698-4392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 50678 | California |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1043445208 |
|---|---|
| LBN Legal business name | Sai Bear Creek Pharmacy Llc |
| DBA Doing business as | Bear Creek Pharmacy |
| Authorized official | Gunda, Saisatish |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | Mar 3rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043445208 | NPPES |
| Other | 2131358 | PK | |
| MEDICAID | 1043445208 | PK |
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