Evergreen Professional Center Pharmacy
LBN: Public Hospital District No 2 Of King County
Evergreen Professional Center Pharmacy is an health care organization with primary practice located at 12303 Ne 130Th Ln Ste 210, Kirkland WA 98034-3099. 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.
Public Hospital District No 2 Of King County can be contacted via phone (425) 899-2790, or through Briggs, Donald via phone (425) 899-2794.
Contact Information
Primary practice address
12303 Ne 130Th Ln Ste 210
Kirkland WA 98034-3099
Phone: (425) 899-2790
Fax: (425) 899-2795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHARCF00004833 | Washington |
Profile Details
| NPI number | 1598832412 |
|---|---|
| LBN Legal business name | Public Hospital District No 2 Of King County |
| DBA Doing business as | Evergreen Professional Center Pharmacy |
| Authorized official | Briggs, Donald RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Dec 20th, 2016 - about 9 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 | 1598832412 | NPPES |
| Other | 2109598 | PK | |
| MEDICAID | 6013734 | PK |
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