Pacific Medical Center Pharmacy Canyon Park

LBN: Maxor National Pharmacy Services Llc
Pacific Medical Center Pharmacy Canyon Park is an health care organization with primary practice located at 1909 214Th St Se Ste 300 , Bothell WA 98021-4418. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Maxor National Pharmacy Services Llc can be contacted via phone (425) 412-6335, or through Wright, Joel via phone (806) 242-7882.

Contact Information

Primary practice address
1909 214Th St Se Ste 300 Bothell WA 98021-4418
Phone: (425) 412-6335
Fax: (206) 531-2394
Website:
Map and Directions
Authorized official contact:
Name: Wright, Joel
Phone: (806) 242-7882

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X PHAR.CF.60657129 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1720301203
LBN Legal business name Maxor National Pharmacy Services Llc
DBA Doing business as Pacific Medical Center Pharmacy Canyon Park
Authorized official Wright, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2010
Last updated Dec 18th, 2023 - about last year

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 1720301203 NPPES
Other 2123866 PK
MEDICAID 2076640 PK

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