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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942312863 | NPPES |
Other | 4926323 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
MEDICAID | 6021224 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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