14Th Avenue Community First Pharmacy

LBN: 14Th Avenue Pharmacy Inc
14Th Avenue Community First Pharmacy is an health care organization with primary practice located at 1200 N 14Th Ave Ste 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 Ste 100 Pasco WA 99301-4182
Phone: (509) 547-8360
Fax: (509) 547-7571
Website:
Map and Directions
Authorized official contact:
Name: Louderback, Scott PHARMD
Phone: (402) 489-1135

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X CF00058660 Washington

Profile Details

NPI number 1710091608
LBN Legal business name 14Th Avenue Pharmacy Inc
DBA Doing business as 14Th Avenue Community First Pharmacy
Authorized official Louderback, Scott PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jun 25th, 2008 - 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 1710091608 NPPES
Other 4931932 OTHER ID NUMBER-COMMERCIAL NUMBER

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