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DMMJR INC NPI 1124560941


NPI Information

NPI: 1124560941
Provider Name: DMMJR INC

Doing Business As: DMK PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1730 ALPINE BLVD STE 109
ALPINE, CA
ZIP 91901
Phone: (619) 722-6442
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DMMJR INC is a long term care pharmacy pharmacy in Alpine, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. DMMJR INC NPI is 1124560941. The provider is registered as an organization entity type.
The provider Is Doing Business As Dmk Pharmacy.

The provider's business location address is:

1730 ALPINE BLVD STE 109
ALPINE, CA
ZIP 91901-877
Phone: (619) 722-6442
Fax: (619) 722-6443

The provider's authorized official is Kristina R Johnson .
The authorized official title is President and has the following contact phone number (619) 722-6442.

The enumeration date for this NPI number is 11/10/2016 and was last updated on 3/21/2022.


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
13336L0003XPharmacyLong Term Care PharmacyPHY51950CALIFORNIAYes

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
11124560941MEDICAIDCALIFORNIA
22166108OTHERPK

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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