Mill Creek Pharmacy
LBN: Mill Creek Pharmacy Inc
Mill Creek Pharmacy is an health care organization with primary practice located at 1025 153Rd St Se Ste 104 , Mill Creek WA 98012-4051. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Mill Creek Pharmacy Inc can be contacted via phone (425) 481-7575, or through Somers, Michael via phone (425) 481-7575.
Contact Information
Primary practice address
1025 153Rd St Se Ste 104
Mill Creek WA 98012-4051
Phone: (425) 481-7575
Fax: (425) 338-0167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | PHARCF00003562 | Washington |
Profile Details
| NPI number | 1699887505 |
|---|---|
| LBN Legal business name | Mill Creek Pharmacy Inc |
| DBA Doing business as | Mill Creek Pharmacy |
| Authorized official | Somers, Michael RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 6th, 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 | 1699887505 | NPPES |
| Other | 4916269 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 6145601 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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