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Contact Information

JDUB PHARMA
2611 E THOMPSON BLVD
SUITE 103
VENTURA, CA93003
 Phone: 805-648-2724
 Fax: 805-648-7562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JDUB PHARMA

NPI Number 1700958584
LBN Legal business name JDUB PHARMA
Authorized official CARLOS VARELA - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
CA License # PHY56114
CA Medicaid 1700958584
Other 0582189 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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