Medicine Man Liberty Lake
LBN: Halcyon Rx Inc
Medicine Man Liberty Lake is an health care organization with primary practice located at 23801 E Appleway Ave Ste 260B, Liberty Lake WA 99019-9687. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Halcyon Rx Inc can be contacted via phone (509) 755-3333, or through Amini, John via phone (509) 755-3333.
Contact Information
Primary practice address
23801 E Appleway Ave Ste 260B
Liberty Lake WA 99019-9687
Phone: (509) 755-3333
Fax: (509) 755-3337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | FL0341254 | Washington |
| Suppliers / Compounding Pharmacy | 3336C0004X | FL0341254 | Washington |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | FL0341254 | Washington |
Profile Details
| NPI number | 1326142373 |
|---|---|
| LBN Legal business name | Halcyon Rx Inc |
| DBA Doing business as | Medicine Man Liberty Lake |
| Authorized official | Amini, John RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Feb 12th, 2008 - about 16 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 | 1326142373 | NPPES |
| Washington | MEDICAID | 6024178 | |
| Washington | Other | 4931463 |
Popular Providers
-
Southgate Pharmacy Llc
2709 W Broadway Ave , Moses Lake WA 98837-2904 -
Allied Pharmaceutical Service Inc
1201 Seven Locks Rd Suite 203, Rockville MD 20854-2931 -
Modernhealth Holdings Inc
110 E Huntington Dr , Monrovia CA 91016-3415 -
Eastern State Hospital Pharmacy
800 West Maple Street , Medical Lake WA 99022-0800 -
Parkhill Pharmacy, Inc.
352 Lopez Road , Lopez Island WA 98261-0190 -
Greenbrier Medical Arts Pharmacy, Inc
3558 Jefferson St N Ste 1 , Lewisburg WV 24901-5730 -
Nwpa Inc
21509 State Route 410 E Ste 4 , Bonney Lake WA 98391-4104 -
Auburn Pharmacy Inc
1020 Elmhurst Blvd , Concordia KS 66901