Medicine Mart 4Th Ave

LBN: Medicine Mart 4Th Ave
Medicine Mart 4Th Ave is an health care organization with primary practice located at 402 S 4Th Ave , Yakima WA 98902-3546. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Medicine Mart 4Th Ave can be contacted via phone (509) 457-2412, or through Murdock, Robert via phone (509) 457-2412.

Contact Information

Primary practice address
402 S 4Th Ave Yakima WA 98902-3546
Phone: (509) 457-2412
Fax: (509) 575-4236
Website:
Map and Directions
Authorized official contact:
Name: Murdock, Robert
Phone: (509) 457-2412

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00056127 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1942312863
LBN Legal business name Medicine Mart 4Th Ave
DBA Doing business as
Authorized official Murdock, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1942312863 NPPES
Other 4926323 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 6021224 OTHER ID NUMBER-COMMERCIAL NUMBER

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