Rainier Pharmacy
LBN: Bridgeport Allenmore Llc
Rainier Pharmacy is an health care organization with primary practice located at 1901 S Cedar St Ste 104, Tacoma WA 98405-2308. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Bridgeport Allenmore Llc can be contacted via phone (253) 582-2293, or through Doud, Robert via phone (253) 238-2230.
Contact Information
Primary practice address
1901 S Cedar St Ste 104
Tacoma WA 98405-2308
Phone: (253) 582-2293
Fax: (253) 272-2294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | CF00057481 | Washington |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1295777597 |
|---|---|
| LBN Legal business name | Bridgeport Allenmore Llc |
| DBA Doing business as | Rainier Pharmacy |
| Authorized official | Doud, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295777597 | NPPES |
| Washington | MEDICAID | 6014518 | |
| Washington | Other | 4912968 |
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