Lidgerwood Pharmacy

LBN: Kaiser Foundation Health Plan Of Washington
Lidgerwood Pharmacy is an health care organization with primary practice located at 6002 N Lidgerwood St , Spokane WA 99208-1124. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of Washington can be contacted via phone (509) 482-3110, or through Beery, Kathy via phone (206) 630-1818.

Contact Information

Primary practice address
6002 N Lidgerwood St Spokane WA 99208-1124
Fax: (509) 434-3183
Website:
Authorized official contact:
Name: Beery, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00004922 Washington
Suppliers / Clinic Pharmacy 3336C0002X CF00004922 Washington

Profile Details

NPI number 1629102637
LBN Legal business name Kaiser Foundation Health Plan Of Washington
DBA Doing business as Lidgerwood Pharmacy
Authorized official Beery, Kathy
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jun 22nd, 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 1629102637 NPPES
Washington Other 4924014 NCPDP

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