Penny Wise Drug

LBN: Penny Wise Drug Stores Inc
Penny Wise Drug is an health care organization with primary practice located at 802 Cleveland Blvd , Caldwell ID 83605-4149. 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. Penny Wise Drug Stores Inc can be contacted via phone (208) 459-3691, or through Wilson, Thomas via phone (208) 459-2134.

Contact Information

Primary practice address
802 Cleveland Blvd Caldwell ID 83605-4149
Phone: (208) 459-3691
Fax: (208) 459-0189
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Thomas
Phone: (208) 459-2134

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 302RP Idaho

Profile Details

NPI number 1730242355
LBN Legal business name Penny Wise Drug Stores Inc
DBA Doing business as Penny Wise Drug
Authorized official Wilson, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 30th, 2014 - about 12 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 1730242355 NPPES
Idaho MEDICAID 003088000
Idaho Other 2019725
Idaho MEDICAID 003087600

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