Organization
SUBURBAN DRUG CO A CORP
Active
Other names
LOS COYOTES DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD LEE ROSENBAUM PHARM. D. (PRESIDENT)
(562) 420-1480
Entity
Organization
Contact information
Practice address
10572 CALLE LEE STE 138, LOS ALAMITOS, CA 90720-8541
(562) 420-1480
(866) 859-1508
Mailing address
10572 CALLE LEE STE 138, LOS ALAMITOS, CA 90720-8541
(562) 420-1480
(866) 859-1508
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY55814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510190
NCPDP#
CA
05
—
PHY55814
—
CA
Enumeration date
11/14/2006
Last updated
02/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us