Jefferson Healthcare Port Ludlow Pharmacy
LBN: Jefferson County Public Hospital District No 2
Jefferson Healthcare Port Ludlow Pharmacy is an health care organization with primary practice located at 9481 Oak Bay Rd Ste A , Port Ludlow WA 98365-9801. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jefferson County Public Hospital District No 2 can be contacted via phone (360) 379-2254, or through Glenn, Mike via phone (360) 385-2200.
Contact Information
Primary practice address
9481 Oak Bay Rd Ste A
Port Ludlow WA 98365-9801
Phone: (360) 379-2254
Fax: (360) 379-2257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1295218188 |
|---|---|
| LBN Legal business name | Jefferson County Public Hospital District No 2 |
| DBA Doing business as | Jefferson Healthcare Port Ludlow Pharmacy |
| Authorized official | Glenn, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2018 |
| Last updated | Dec 10th, 2021 - about 3 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 | 1295218188 | NPPES |
| Washington | Other | PHAR.CF.60884025 | LICENSE |
| Washington | MEDICAID | 2126465 | LICENSE |
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