Avita Pharmacy 1012 is not a DME supplier for medicare equipments and products.
Avita Pharmacy 1012 is a Community/Retail Pharmacy in West Covina, California. This pharmacy is owned and operated by Pharmedquest Pharmacy Services. It is located at 420 S Glendora Ave, West Covina and it's customer support contact number is 626-869-2470. The authorized person of Avita Pharmacy 1012 is Ms. Dalila Ibarra who is Licensing & Credentialing Coordinat of the pharmacy and her contact number is 657-286-7957. Active license number of Avita Pharmacy 1012 is 53301 for Community/Retail Pharmacy in California. Avita Pharmacy 1012 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Avita Pharmacy 1012 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Avita Pharmacy 1012
Type:
Community/Retail Pharmacy
Location:
420 S Glendora Ave, West Covina, California, 91790-3001
Phone:
626-869-2470
Fax:
626-919-1295
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ms. Dalila Ibarra
Position:
Licensing & Credentialing Coordinat
Contact Number:
657-286-7957
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1497142251
NPI Enumeration Date:
20 Apr, 2015
NPI Last Update On:
14 Mar, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avita Pharmacy 1012 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
53301
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1497142251
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10604 Coursey Blvd, Baton Rouge, Louisiana
Zip:
70816-4015
Phone Number:
714-599-8181
Fax Number:
714-599-8242
Patients can reach Avita Pharmacy 1012 at 420 S Glendora Ave, West Covina, California or can call on customer care at 626-869-2470.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
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