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Contact Information

PORT CITY OPERATING COMPANY, LLC
1800 N CALIFORNIA ST
STOCKTON, CA95204-6019
 Phone: 858-275-8112
 Fax: 779-803-8118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PORT CITY OPERATING COMPANY, LLC

NPI Number 1508998923
LBN Legal business name PORT CITY OPERATING COMPANY, LLC
Authorized official DANIEL MORISETTE - (SYSTEM CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/12/2007
Last updated 08/11/2025 - About 10 months ago
Identifiers
CA License # HSP45514
CA Medicaid PHB161000
Other 0548404 NCPDP
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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