Stoneridge Professional Pharmacy

LBN: Tri-Valley Pharmacy Corporation
Stoneridge Professional Pharmacy is an health care organization with primary practice located at 5720 Stoneridge Mall Rd #150, Pleasanton CA 94588-2828. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tri-Valley Pharmacy Corporation can be contacted via phone (925) 463-2248, or through Fong, Karen via phone (925) 463-2248.

Contact Information

Primary practice address
5720 Stoneridge Mall Rd #150 Pleasanton CA 94588-2828
Phone: (925) 463-2248
Fax: (925) 463-5615
Website:
Map and Directions
Authorized official contact:
Name: Fong, Karen PHARM.D.
Phone: (925) 463-2248

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47432 California

Profile Details

NPI number 1821033143
LBN Legal business name Tri-Valley Pharmacy Corporation
DBA Doing business as Stoneridge Professional Pharmacy
Authorized official Fong, Karen PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Dec 1st, 2016 - about 10 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 1821033143 NPPES
Other 2003041 PK
MEDICAID PHA222970 PK

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