Food Pavilion #861 Pharmacy

LBN: Brown & Cole Stores Llc
Food Pavilion #861 Pharmacy is an health care organization with primary practice located at 911 N Stratford Rd , Moses Lake WA 98837-1500. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Brown & Cole Stores Llc can be contacted via phone (509) 765-9591, or through Rasmusson, Dave via phone (360) 714-7749.

Contact Information

Primary practice address
911 N Stratford Rd Moses Lake WA 98837-1500
Phone: (509) 765-9591
Fax: (509) 765-9594
Website:
Map and Directions
Authorized official contact:
Name: Rasmusson, Dave
Phone: (360) 714-7749

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X CF00057423 Washington

Profile Details

NPI number 1538212659
LBN Legal business name Brown & Cole Stores Llc
DBA Doing business as Food Pavilion #861 Pharmacy
Authorized official Rasmusson, Dave
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Sep 9th, 2009 - about 15 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 1538212659 NPPES
Washington MEDICAID 6020465

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