<Unavail>
LBN: St. Joseph Pharmacy, Inc.
<Unavail> is an health care organization with primary practice located at 2519 W Burbank Blvd , Burbank CA 91505-2302. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
St. Joseph Pharmacy, Inc. can be contacted via phone (818) 736-5290, or through Ettedgui, Philip A via phone (818) 259-5375.
Contact Information
Primary practice address
2519 W Burbank Blvd
Burbank CA 91505-2302
Phone: (818) 736-5290
Fax: (818) 736-5276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Pharmacy | 333600000X | 56040 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 56040 | California |
Profile Details
| NPI number | 1184124984 |
|---|---|
| LBN Legal business name | St. Joseph Pharmacy, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Ettedgui, Philip A PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 19th, 2018 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184124984 | NPPES |
| Other | 2175758 | PK |
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