Village Pharmacy

LBN: Village Pharmacy
Village Pharmacy is an health care organization with primary practice located at 3137 S Hoover St , Los Angeles CA 90007-3196. 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. Village Pharmacy can be contacted via phone (213) 749-2346, or through Park, Jay In via phone (213) 749-2346.

Contact Information

Primary practice address
3137 S Hoover St Los Angeles CA 90007-3196
Phone: (213) 749-2346
Fax: (213) 749-5270
Website:
Map and Directions
Authorized official contact:
Name: Park, Jay In
Phone: (213) 749-2346

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY41506 California

Profile Details

NPI number 1508887555
LBN Legal business name Village Pharmacy
DBA Doing business as Village Pharmacy
Authorized official Park, Jay In
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated May 7th, 2012 - about 14 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 1508887555 NPPES
Other 0578508 NCPDP PROVIDER IDENTIFICATION NUMBER

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