14Th Avenue Pharmacy Inc.

LBN: 14Th Avenue Pharmacy Inc.
14Th Avenue Pharmacy Inc. is an health care organization with primary practice located at 1200 N 14Th Ave Suite 100, Pasco WA 99301-4182. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 14Th Avenue Pharmacy Inc. can be contacted via phone (509) 547-8360, or through Louderback, Scott via phone (402) 489-1135.

Contact Information

Primary practice address
1200 N 14Th Ave Suite 100 Pasco WA 99301-4182
Phone: (509) 547-8360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Louderback, Scott PHARM D
Phone: (402) 489-1135

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X CF00057982 Washington

Profile Details

NPI number 1629028378
LBN Legal business name 14Th Avenue Pharmacy Inc.
DBA Doing business as
Authorized official Louderback, Scott PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Feb 20th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629028378 NPPES
Washington MEDICAID 6005128

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