Five Corners Pharmacy Inc

LBN: Five Corners Pharmacy Inc
Five Corners Pharmacy Inc is an health care organization with primary practice located at 8404 Bowdoin Way Ste A, Edmonds WA 98026-7322. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Five Corners Pharmacy Inc can be contacted via phone (425) 776-0168, or through Evans, Timothy via phone (425) 776-0168.

Contact Information

Primary practice address
8404 Bowdoin Way Ste A Edmonds WA 98026-7322
Phone: (425) 776-0168
Fax: (425) 776-0160
Website:
Map and Directions
Authorized official contact:
Name: Evans, Timothy
Phone: (425) 776-0168

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00003277 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1851403760
LBN Legal business name Five Corners Pharmacy Inc
DBA Doing business as
Authorized official Evans, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1851403760 NPPES
Washington MEDICAID 6131908
Washington Other 4903375

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