Propac Payless Pharmacy

LBN: Pharmacy Corporation Of America
Propac Payless Pharmacy is an health care organization with primary practice located at 111 Se Everett Mall Way Ste A100, Everett WA 98208-3208. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Pharmacy Corporation Of America can be contacted via phone (503) 626-9436, or through Lariviere, Stephen A via phone (502) 627-7404.

Contact Information

Primary practice address
111 Se Everett Mall Way Ste A100 Everett WA 98208-3208
Phone: (503) 626-9436
Fax: (800) 982-2730
Website:
Map and Directions
Authorized official contact:
Name: Lariviere, Stephen A
Phone: (502) 627-7404

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHAR.CF60408436 Washington

Profile Details

NPI number 1093799843
LBN Legal business name Pharmacy Corporation Of America
DBA Doing business as Propac Payless Pharmacy
Authorized official Lariviere, Stephen A
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 5th, 2005
Last updated May 24th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093799843 NPPES
Other 2108264 PK
MEDICAID 6024269 PK

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