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Contact Information

HESPERIA LA SALLE PHARMACY
16455 MAIN ST
#8
HESPERIA, CA92345
 Phone: 760-956-2270
 Fax: 760-956-7093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HESPERIA LA SALLE PHARMACY

NPI Number 1205997947
LBN Legal business name HESPERIA LA SALLE PHARMACY
Authorized official YOUNG KIM - (OWNER RPH)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 08/31/2010 - About 16 years ago
Identifiers
CA License # PHY 43984
CA Medicaid PHA439850
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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