Snoqualmie Village Pharmacy
LBN: Nyberg Health Enterprises Inc
Snoqualmie Village Pharmacy is an health care organization with primary practice located at 7730 Center Blvd Se , Snoqualmie WA 98065-8743. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Nyberg Health Enterprises Inc can be contacted via phone (425) 396-7474, or through Nyberg, Brockman/Shanna via phone (425) 221-0129.
Contact Information
Primary practice address
7730 Center Blvd Se
Snoqualmie WA 98065-8743
Phone: (425) 396-7474
Fax: (425) 396-7454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHARCF00058496 | Washington |
Profile Details
| NPI number | 1457366007 |
|---|---|
| LBN Legal business name | Nyberg Health Enterprises Inc |
| DBA Doing business as | Snoqualmie Village Pharmacy |
| Authorized official | Nyberg, Brockman/Shanna BS PHARM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Feb 7th, 2013 - about 11 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 | 1457366007 | NPPES |
| Washington | MEDICAID | 6028922 | |
| Washington | Other | 4931716 |
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