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
Phone: (509) 453-4835
Fax: (509) 453-7691
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063516011 | NPPES |
| Washington | MEDICAID | 6130801 | |
| Washington | Other | 4910471 |
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