Tustin Community Pharmacy

LBN: Tustin Community Pharmacy Inc
Tustin Community Pharmacy is an health care organization with primary practice located at 13400 Newport Ave , Tustin CA 92780-3753. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tustin Community Pharmacy Inc can be contacted via phone (714) 731-1344, or through Oswald, Jerry via phone (714) 731-1344.

Contact Information

Primary practice address
13400 Newport Ave Tustin CA 92780-3753
Phone: (714) 731-1344
Fax: (714) 731-7363
Website:
Map and Directions
Authorized official contact:
Name: Oswald, Jerry PHARM.D.
Phone: (714) 731-1344

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY30023 California

Profile Details

NPI number 1730222670
LBN Legal business name Tustin Community Pharmacy Inc
DBA Doing business as Tustin Community Pharmacy
Authorized official Oswald, Jerry PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 14th, 2009 - about 17 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 1730222670 NPPES
California MEDICAID PHA300230

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