Hawks Prairie Health Mart Pharmacy
LBN: Hawks Prairie Pharmacy
Hawks Prairie Health Mart Pharmacy is an health care organization with primary practice located at 2539 Marvin Rd Ne Ste E, Lacey WA 98516-3177. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Hawks Prairie Pharmacy can be contacted via phone (360) 438-3072, or through Thimmegowda, Sunil B via phone (360) 438-3072.
Contact Information
Primary practice address
2539 Marvin Rd Ne Ste E
Lacey WA 98516-3177
Phone: (360) 438-3072
Fax: (360) 438-3532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PHAR.CF.60409528 | Washington |
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1508292707 |
|---|---|
| LBN Legal business name | Hawks Prairie Pharmacy |
| DBA Doing business as | Hawks Prairie Health Mart Pharmacy |
| Authorized official | Thimmegowda, Sunil B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2013 |
| Last updated | Nov 11th, 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 | 1508292707 | NPPES |
| Washington | Other | G8924654 | MEDICARE MASS IMMUNIZATION |
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