Ted'S Village Pharmacy Inc.

LBN: Ted'S Village Pharmacy Inc.
Ted'S Village Pharmacy Inc. is an health care organization with primary practice located at 29 W 25Th Ave , San Mateo CA 94403-2236. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ted'S Village Pharmacy Inc. can be contacted via phone (650) 349-1373, or through Pham, Nguyen Tam via phone (650) 349-1373.

Contact Information

Primary practice address
29 W 25Th Ave San Mateo CA 94403-2236
Phone: (650) 349-1373
Fax: (650) 349-1745
Website:
Map and Directions
Authorized official contact:
Name: Pham, Nguyen Tam PHAM.D
Phone: (650) 349-1373

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46796 California

Profile Details

NPI number 1205982543
LBN Legal business name Ted'S Village Pharmacy Inc.
DBA Doing business as
Authorized official Pham, Nguyen Tam PHAM.D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1205982543 NPPES
California MEDICAID PHA467960
California Other 0546753

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