Overlake Medical Tower Pharmacy
LBN: Overlake Medical Tower Pharmacy
Overlake Medical Tower Pharmacy is an health care organization with primary practice located at 1135 116Th Ave Ne Ste 105, Bellevue WA 98004-4623. 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.
Overlake Medical Tower Pharmacy can be contacted via phone (425) 688-5958, or through Lee, Annie via phone (425) 688-5958.
Contact Information
Primary practice address
1135 116Th Ave Ne Ste 105
Bellevue WA 98004-4623
Phone: (425) 688-5958
Fax: (425) 467-3540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF00056713 | Washington |
Profile Details
| NPI number | 1043437890 |
|---|---|
| LBN Legal business name | Overlake Medical Tower Pharmacy |
| DBA Doing business as | |
| Authorized official | Lee, Annie PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Sep 13th, 2007 - about 17 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 | 1043437890 | NPPES |
| Other | 4928151 | OTHER ID NUMBER | |
| MEDICAID | 6023584 | OTHER ID NUMBER |
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