Tahoe City Compounding Pharmacy

LBN: Tahoe City Plaza Pharmacy
Tahoe City Compounding Pharmacy is an health care organization with primary practice located at 599 North Lake Blvd , Tahoe City CA 96145-7229. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Tahoe City Plaza Pharmacy can be contacted via phone (530) 583-3888, or through Sabistina, Gary P via phone (530) 583-3888.

Contact Information

Primary practice address
599 North Lake Blvd Tahoe City CA 96145-7229
Phone: (530) 583-3888
Fax: (530) 583-1301
Website:
Map and Directions
Authorized official contact:
Name: Sabistina, Gary P RPH
Phone: (530) 583-3888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PHY 43340 California

Profile Details

NPI number 1134297906
LBN Legal business name Tahoe City Plaza Pharmacy
DBA Doing business as Tahoe City Compounding Pharmacy
Authorized official Sabistina, Gary P RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134297906 NPPES
California Other PHY 43340 RETAIL PHARMACY PERMIT

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