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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1093799843 | NPPES |
| Other | 2108264 | PK | |
| MEDICAID | 6024269 | PK |
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