Sixth Avenue Medical Pharmacy
LBN: Sixth Avenue Medical Pharmacy Inc
Sixth Avenue Medical Pharmacy is an health care organization with primary practice located at 508 W 6Th Ave , Spokane WA 99204-2770. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Sixth Avenue Medical Pharmacy Inc can be contacted via phone (509) 455-9345, or through Nelson, Erik via phone (509) 455-9345.
Contact Information
Primary practice address
508 W 6Th Ave
Spokane WA 99204-2770
Phone: (509) 455-9345
Fax: (509) 455-4479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHAR.CF.60411553 | Washington |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1124039623 |
|---|---|
| LBN Legal business name | Sixth Avenue Medical Pharmacy Inc |
| DBA Doing business as | Sixth Avenue Medical Pharmacy |
| Authorized official | Nelson, Erik |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 21st, 2016 - about 8 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 | 1124039623 | NPPES |
| Washington | MEDICAID | 6154702 | |
| Washington | Other | 2143800 |
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