Fountain Drug
LBN: Fountain Drug And Variety Inc
Fountain Drug is an health care organization with primary practice located at 2416 Meridian St , Bellingham WA 98225-2405. 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.
Fountain Drug And Variety Inc can be contacted via phone (360) 733-6200, or through Coudriet, Karen via phone (360) 733-6200.
Contact Information
Primary practice address
2416 Meridian St
Bellingham WA 98225-2405
Phone: (360) 733-6200
Fax: (360) 671-4644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF00002219 | Washington |
Profile Details
| NPI number | 1699818757 |
|---|---|
| LBN Legal business name | Fountain Drug And Variety Inc |
| DBA Doing business as | Fountain Drug |
| Authorized official | Coudriet, Karen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 20th, 2007 - about 17 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 | 1699818757 | NPPES |
| Other | 4902296 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 4902296 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 6003784 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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