Five Corners Pharmacy Services

LBN: Five Corners Pharmacy Services
Five Corners Pharmacy Services is an health care organization with primary practice located at 8404 Bowdoin Way Ste B, Edmonds WA 98026-7322. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Five Corners Pharmacy Services 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 B Edmonds WA 98026-7322
Fax: (425) 776-0160
Website:
Authorized official contact:
Name: Evans, Timothy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X FL00057301 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902909047
LBN Legal business name Five Corners Pharmacy Services
DBA Doing business as
Authorized official Evans, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 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 1902909047 NPPES
Washington MEDICAID 6026462
Washington Other 4930031

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