National Provider Identifier Database

SAI BEAR CREEK PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

SAI BEAR CREEK PHARMACY LLC
24046 CLINTON KEITH RD
SUITE 107
WILDOMAR, CA92595
Phone: 951-677-4880
Fax: 951-698-4392
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for SAI BEAR CREEK PHARMACY LLC

NPI Number 1043445208
Legal business name
LBN
SAI BEAR CREEK PHARMACY LLC
Authorized official SAISATISH GUNDA - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 05/18/2009
Last updated 03/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 50678
  • CA Medicaid: 1043445208
  • Other: 2131358 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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