White Cross Drug Store

LBN: White Cross Drug Store
White Cross Drug Store is an health care organization with primary practice located at 4074 Fairmount Ave , San Diego CA 92105-1608. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. White Cross Drug Store can be contacted via phone (619) 284-1141, or through Atiya, Max via phone (619) 284-1141.

Contact Information

Primary practice address
4074 Fairmount Ave San Diego CA 92105-1608
Phone: (619) 284-1141
Fax: (619) 284-0503
Website:
Map and Directions
Authorized official contact:
Name: Atiya, Max
Phone: (619) 284-1141

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY45196 California

Profile Details

NPI number 1609887199
LBN Legal business name White Cross Drug Store
DBA Doing business as
Authorized official Atiya, Max
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 31st, 2007 - about 19 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 1609887199 NPPES
Other 0595681 OTHER ID NUMBER
MEDICAID PHA451960 OTHER ID NUMBER
Other 0595681 OTHER ID NUMBER

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