The Pharmacy At Trios Southridge
LBN: Kennewick General Hosital
The Pharmacy At Trios Southridge is an health care organization with primary practice located at 521 N Young St , Kennewick WA 99336-7806. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kennewick General Hosital can be contacted via phone (509) 221-6150, or through Porter, Michael via phone (509) 221-7351.
Contact Information
Primary practice address
521 N Young St
Kennewick WA 99336-7806
Phone: (509) 221-6150
Fax: (509) 221-6151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF000056883 | Washington |
Profile Details
| NPI number | 1619090487 |
|---|---|
| LBN Legal business name | Kennewick General Hosital |
| DBA Doing business as | The Pharmacy At Trios Southridge |
| Authorized official | Porter, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Sep 14th, 2016 - about 8 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 | 1619090487 | NPPES |
| Other | 2107413 | PK | |
| MEDICAID | 6025795 | PK |
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