Kelso Drug Co

LBN: Kelso Drug Co
Kelso Drug Co is an health care organization with primary practice located at 204 S Pacific Ave , Kelso WA 98626-1618. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kelso Drug Co can be contacted via phone (360) 423-2220, or through Hollingsworth, James via phone (360) 423-2220.

Contact Information

Primary practice address
204 S Pacific Ave Kelso WA 98626-1618
Phone: (360) 423-2220
Fax: (360) 425-1940
Website:
Map and Directions
Authorized official contact:
Name: Hollingsworth, James
Phone: (360) 423-2220

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00002494 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427190776
LBN Legal business name Kelso Drug Co
DBA Doing business as
Authorized official Hollingsworth, James
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1427190776 NPPES
Washington MEDICAID 60000632
Washington Other 4904199

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