Peninsula Community Health Services Pharmacy-Poulsbo
LBN: Peninsula Community Health Services
Peninsula Community Health Services Pharmacy-Poulsbo is an health care organization with primary practice located at 19917 7Th Ave Ne Ste 205 Suite 205, Poulsbo WA 98370-6555. 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.
Peninsula Community Health Services can be contacted via phone (360) 697-7636, or through Kreidler-Moss, Jennifer via phone (360) 478-2366.
Contact Information
Primary practice address
19917 7Th Ave Ne Ste 205 Suite 205
Poulsbo WA 98370-6555
Phone: (360) 697-7636
Fax: (360) 697-7676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF60084120 | Washington |
Profile Details
| NPI number | 1760617997 |
|---|---|
| LBN Legal business name | Peninsula Community Health Services |
| DBA Doing business as | Peninsula Community Health Services Pharmacy-Poulsbo |
| Authorized official | Kreidler-Moss, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1760617997 | NPPES |
| Washington | MEDICAID | 6032270 | |
| Washington | Other | 2120260 |
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