Clearwater Canyon Pharmacy

LBN: Clearwater Canyon Pharmacy, Llc
Clearwater Canyon Pharmacy is an health care organization with primary practice located at 13020 Us-12 , Orofino ID 83544. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Clearwater Canyon Pharmacy, Llc can be contacted via phone (208) 476-0110, or through Pottenger, Charles Andrew via phone (208) 476-0110.

Contact Information

Primary practice address
13020 Us-12 Orofino ID 83544
Phone: (208) 476-0110
Fax: (208) 476-0115
Website:
Map and Directions
Authorized official contact:
Name: Pottenger, Charles Andrew PHARMD
Phone: (208) 476-0110

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1598229809
LBN Legal business name Clearwater Canyon Pharmacy, Llc
DBA Doing business as Clearwater Canyon Pharmacy
Authorized official Pottenger, Charles Andrew PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2019
Last updated Apr 10th, 2019 - about 6 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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