National Provider Identifier Database

HESPERIA LA SALLE PHARMACY
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

HESPERIA LA SALLE PHARMACY
16455 MAIN ST
#8
HESPERIA, CA92345
Phone: 760-956-2270
Fax: 760-956-7093
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for HESPERIA LA SALLE PHARMACY

NPI Number 1205997947
Legal business name
LBN
HESPERIA LA SALLE PHARMACY
Authorized official YOUNG KIM - (OWNER RPH)
Entity Organization
Organization subpart No
Enumeration date 12/13/2006
Last updated 08/31/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY 43984
  • CA Medicaid: PHA439850

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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