Mardix Pharmacy Inc

LBN: Mardix Pharmacy Inc
Mardix Pharmacy Inc is an health care organization with primary practice located at 13308 Se 240Th St , Kent WA 98042-5106. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mardix Pharmacy Inc can be contacted via phone (253) 630-3833, or through Lockwood, Al via phone (253) 630-3833.

Contact Information

Primary practice address
13308 Se 240Th St Kent WA 98042-5106
Phone: (253) 630-3833
Fax: (253) 630-0114
Website:
Map and Directions
Authorized official contact:
Name: Lockwood, Al RPH
Phone: (253) 630-3833

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00001264 Washington

Profile Details

NPI number 1922168327
LBN Legal business name Mardix Pharmacy Inc
DBA Doing business as
Authorized official Lockwood, Al RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Sep 10th, 2010 - about 15 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 1922168327 NPPES
Washington MEDICAID 6048003
Washington Other 4913643

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