Reddish Pharmacy

LBN: Reddish Pharmacy Inc
Reddish Pharmacy is an health care organization with primary practice located at 215 E Hawaii Ave Ste 100, Nampa ID 83686-6011. 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. Reddish Pharmacy Inc can be contacted via phone (208) 466-7823, or through Reddish, Kevin via phone (208) 466-7823.

Contact Information

Primary practice address
215 E Hawaii Ave Ste 100 Nampa ID 83686-6011
Phone: (208) 466-7823
Fax: (208) 466-8429
Website:
Map and Directions
Authorized official contact:
Name: Reddish, Kevin
Phone: (208) 466-7823

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 693RP Idaho

Profile Details

NPI number 1295847135
LBN Legal business name Reddish Pharmacy Inc
DBA Doing business as Reddish Pharmacy
Authorized official Reddish, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 25th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295847135 NPPES
Idaho MEDICAID 002584300
Idaho Other 2020587

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