Shiraz Specialty Pharmacy
LBN: Ets Consulting Llc
Shiraz Specialty Pharmacy is an health care organization with primary practice located at 24255 Van Ry Blvd Ste A1 , Mountlake Terrace WA 98043-5460. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Ets Consulting Llc can be contacted via phone (425) 356-3276, or through Doane, David via phone (425) 672-5809.
Contact Information
Primary practice address
24255 Van Ry Blvd Ste A1
Mountlake Terrace WA 98043-5460
Phone: (425) 356-3276
Fax: (425) 356-3101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHARM.CF.60691335 | Washington |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1831104454 |
|---|---|
| LBN Legal business name | Ets Consulting Llc |
| DBA Doing business as | Shiraz Specialty Pharmacy |
| Authorized official | Doane, David RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Mar 29th, 2023 - about last year |
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 | 1831104454 | NPPES |
| Other | 2108647 | PK | |
| MEDICAID | 6028393 | PK |
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