Medicine Mart

LBN: Medical Center
Medicine Mart is an health care organization with primary practice located at 1112 W Spruce St , Yakima WA 98902-3210. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medical Center can be contacted via phone (509) 453-4835, or through Hester, Richard via phone (509) 453-4835.

Contact Information

Primary practice address
1112 W Spruce St Yakima WA 98902-3210
Fax: (509) 453-7691
Website:
Authorized official contact:
Name: Hester, Richard PPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00002290 Washington
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1063516011
LBN Legal business name Medical Center
DBA Doing business as Medicine Mart
Authorized official Hester, Richard PPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 10th, 2011 - about 13 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 1063516011 NPPES
Washington MEDICAID 6130801
Washington Other 4910471

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