Organization
ENTAG INC
Active
Other names
Medicine Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROOZ BEHZADI (VICE PRESIDENT)
(408) 892-0136
Entity
Organization
Contact information
Practice address
1685 E MAIN ST STE 103, EL CAJON, CA 92021-5225
(619) 401-7077
(619) 951-3136
Mailing address
1685 E MAIN ST, #103, EL CAJON, CA 92021-5225
(619) 401-7077
(619) 951-3136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY50669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130689
PK
—
Enumeration date
06/20/2011
Last updated
05/20/2016
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