Malley'S Compounding Pharmacy
LBN: Columbia River Pharmacy
Malley'S Compounding Pharmacy is an health care organization with primary practice located at 1906 George Washington Way , Richland WA 99354-2308. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Columbia River Pharmacy can be contacted via phone (509) 943-9173, or through Henriksen, James via phone (509) 943-9173.
Contact Information
Primary practice address
1906 George Washington Way
Richland WA 99354-2308
Phone: (509) 943-9173
Fax: (509) 946-1122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAR.CF.60176819 | Washington |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1861423717 |
|---|---|
| LBN Legal business name | Columbia River Pharmacy |
| DBA Doing business as | Malley'S Compounding Pharmacy |
| Authorized official | Henriksen, James PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jan 15th, 2016 - about 8 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 | 1861423717 | NPPES |
| Other | 2106368 | PK | |
| MEDICAID | 6143903 | PK |
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