Pacific Nw Specialty Pharmacy, Llc

LBN: Pacific Northwest Specialty Pharmacy Llc
Pacific Nw Specialty Pharmacy, Llc is an health care organization with primary practice located at 3801 Main St Ste A , Vancouver WA 98663-2258. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pacific Northwest Specialty Pharmacy Llc can be contacted via phone (360) 448-7890, or through Coleman, Janet via phone (360) 606-8777.

Contact Information

Primary practice address
3801 Main St Ste A Vancouver WA 98663-2258
Fax: (360) 448-7258
Website:
Authorized official contact:
Name: Coleman, Janet

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X PHARCF60285905 Washington

Profile Details

NPI number 1346595303
LBN Legal business name Pacific Northwest Specialty Pharmacy Llc
DBA Doing business as Pacific Nw Specialty Pharmacy, Llc
Authorized official Coleman, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2012
Last updated Feb 22nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346595303 NPPES
Washington MEDICAID 2050038

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