Kaiser Permanente Longview Kelso Pharmacy

LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente Longview Kelso Pharmacy is an health care organization with primary practice located at 1230 7Th Ave , Longview WA 98632-3166. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of The Northwest can be contacted via phone (360) 636-6226, or through Lyman, Alfred via phone (800) 813-2000.

Contact Information

Primary practice address
1230 7Th Ave Longview WA 98632-3166
Phone: (360) 636-6226
Fax: (360) 636-6249
Website:
Map and Directions
Authorized official contact:
Name: Lyman, Alfred PHARMD, BCPS
Phone: (800) 813-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00002437 Washington
Suppliers / Clinic Pharmacy 3336C0002X RP-0003090-CS Oregon
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1306893417
LBN Legal business name Kaiser Foundation Health Plan Of The Northwest
DBA Doing business as Kaiser Permanente Longview Kelso Pharmacy
Authorized official Lyman, Alfred PHARMD, BCPS
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Jun 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306893417 NPPES
Other 2108297 PK
MEDICAID 6019384 PK
MEDICAID 136676 PK

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