Bainbridge Island Community Pharmacy
LBN: Bainbridge Island Community Pharmacy Llc
Bainbridge Island Community Pharmacy is an health care organization with primary practice located at 124 Winslow Way W , Bainbridge Island WA 98110-2512. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Bainbridge Island Community Pharmacy Llc can be contacted via phone (206) 780-7809, or through Tan, Mark Jowett via phone (206) 780-7809.
Contact Information
Primary practice address
124 Winslow Way W
Bainbridge Island WA 98110-2512
Phone: (206) 780-7809
Fax: (206) 842-7801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1073053302 |
|---|---|
| LBN Legal business name | Bainbridge Island Community Pharmacy Llc |
| DBA Doing business as | Bainbridge Island Community Pharmacy |
| Authorized official | Tan, Mark Jowett |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2017 |
| Last updated | Dec 6th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073053302 | NPPES |
| Washington | MEDICAID | 2082015 | |
| Washington | Other | 2168189 |
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