<Unavail>

LBN: Spring Valley Lake Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 11919 Hesperia Rd Ste C, Hesperia CA 92345-2158. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Spring Valley Lake Pharmacy Inc can be contacted via phone (760) 244-3777, or through Attia, Raafat Fayez via phone (760) 244-3777.

Contact Information

Primary practice address
11919 Hesperia Rd Ste C Hesperia CA 92345-2158
Phone: (760) 244-3777
Fax: (760) 242-8617
Website:
Map and Directions
Authorized official contact:
Name: Attia, Raafat Fayez PHARMACIST
Phone: (760) 244-3777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51251 California

Profile Details

NPI number 1750491577
LBN Legal business name Spring Valley Lake Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Attia, Raafat Fayez PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 22nd, 2014 - about 12 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 1750491577 NPPES
Other 5614020 NCPDP PROVIDER IDENTIFICATION NUMBER

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