Lincoln County Healthmart Pharm

LBN: Lincoln County Healthmart Pharm
Lincoln County Healthmart Pharm is an health care organization with primary practice located at 621 Morgan St , Davenport WA 99122-5015. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lincoln County Healthmart Pharm can be contacted via phone (509) 725-3310, or through Paul, Tom via phone (509) 725-3310.

Contact Information

Primary practice address
621 Morgan St Davenport WA 99122-5015
Fax: (509) 725-3320
Website:
Authorized official contact:
Name: Paul, Tom PHARM

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00003505 Washington
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1508940248
LBN Legal business name Lincoln County Healthmart Pharm
DBA Doing business as Lincoln County Healthmart Pharm
Authorized official Paul, Tom PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 18th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508940248 NPPES
Other 2106601 PK
MEDICAID 6045306 PK

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