Mike'S Eastside Drugs
LBN: Mike'S Eastside Drugs
Mike'S Eastside Drugs is an health care organization with primary practice located at 8506 E. Mill Plain Boulevard , Vancouver WA 98664. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty.
Mike'S Eastside Drugs can be contacted via phone (360) 694-3353, or through Graeff, Michael via phone (360) 694-3353.
Contact Information
Primary practice address
8506 E. Mill Plain Boulevard
Vancouver WA 98664
Phone: (360) 694-3353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | CF00001931 | Washington |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF00001931 | Washington |
| Suppliers / Compounding Pharmacy | 3336C0004X | CF00001931 | Washington |
Profile Details
| NPI number | 1972698454 |
|---|---|
| LBN Legal business name | Mike'S Eastside Drugs |
| DBA Doing business as | |
| Authorized official | Graeff, Michael R.PH., FACA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 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 | 1972698454 | NPPES |
| Washington | Other | 4909884 | NABP NUMBER |
| Washington | MEDICAID | 6082606 | NABP NUMBER |
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