Organization
HINAS MERCY SOUTHWEST PHARMACY INC
Active
Other names
HINAS HOMECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY PATEL (CFO)
(661) 664-7979
Entity
Organization
Contact information
Practice address
9508 STOCKDALE HWY, STE130, BAKERSFIELD, CA 93311-3622
(661) 664-7979
(661) 847-0181
Mailing address
9508 STOCKDALE HWY, STE130, BAKERSFIELD, CA 93311-3622
(661) 664-7979
(661) 847-0181
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46640
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112675
PK
—
05
—
PHA466400
—
CA
Enumeration date
08/31/2006
Last updated
04/10/2014
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