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THEO PHARMACEUTICALS INC NPI 1073931887


NPI Information

NPI: 1073931887
Provider Name: THEO PHARMACEUTICALS INC

Doing Business As: THEO PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
13701 BEACH BLVD
STE A2
WESTMINSTER, CA
ZIP 92683
Phone: (714) 373-0214
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THEO PHARMACEUTICALS INC is a community/retail pharmacy pharmacy in Westminster, CA. The provider 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. THEO PHARMACEUTICALS INC NPI is 1073931887. The provider is registered as an organization entity type.
The provider Is Doing Business As Theo Pharmacy.

The provider's business location address is:

13701 BEACH BLVD
STE A2
WESTMINSTER, CA
ZIP 92683-201
Phone: (714) 373-0214
Fax: (714) 373-0839

The provider's authorized official is Rakesh Tammabattula .
The authorized official title is Owner and has the following contact phone number (347) 515-6789.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 3/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336M0002XPharmacyMail Order PharmacyPH30490FLORIDANo
23336C0003XPharmacyCommunity/Retail PharmacyNP000794PENNSYLVANIANo
33336C0003XPharmacyCommunity/Retail PharmacyNRP.022668450-03OHIONo
4333600000XPharmacy265225MINNESOTANo
53336C0003XPharmacyCommunity/Retail PharmacyPH03678NEVADANo
63336C0003XPharmacyCommunity/Retail PharmacyPHY53900CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12162079OTHERPK
28968740MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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