Custom Prescription Shoppe Llc
LBN: Custom Prescription Shoppe Llc
Custom Prescription Shoppe Llc is an health care organization with primary practice located at 1313 E Maple St Ste 101, Bellingham WA 98225-5708. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Custom Prescription Shoppe Llc can be contacted via phone (360) 685-4242, or through Faris, Kevin via phone (360) 685-4242.
Contact Information
Primary practice address
1313 E Maple St Ste 101
Bellingham WA 98225-5708
Phone: (360) 685-4242
Fax: (360) 685-4243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | CF00057668 | Washington |
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1932288438 |
|---|---|
| LBN Legal business name | Custom Prescription Shoppe Llc |
| DBA Doing business as | |
| Authorized official | Faris, Kevin RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Dec 6th, 2012 - about 12 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 | 1932288438 | NPPES |
| Other | 4930550 | OTHER ID NUMBER | |
| MEDICAID | 6026835 | OTHER ID NUMBER |
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