Eastmont Pharmacy

LBN: Eastmont Pharmacy Inc
Eastmont Pharmacy is an health care organization with primary practice located at 630 Valley Mall Pkwy , E Wenatchee WA 98802-4838. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Eastmont Pharmacy Inc can be contacted via phone (509) 884-7254, or through Holliday, Mike via phone (509) 884-7254.

Contact Information

Primary practice address
630 Valley Mall Pkwy E Wenatchee WA 98802-4838
Phone: (509) 884-7254
Fax: (509) 884-4698
Website:
Map and Directions
Authorized official contact:
Name: Holliday, Mike
Phone: (509) 884-7254

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00004184 Washington

Profile Details

NPI number 1104831726
LBN Legal business name Eastmont Pharmacy Inc
DBA Doing business as Eastmont Pharmacy
Authorized official Holliday, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 19th, 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 1104831726 NPPES
Other 4903298 NCPDP PROVIDER IDENTIFICATION NUMBER

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