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
Fax: (509) 455-4479
Website:
Authorized official contact:
Name: Nelson, Erik

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124039623 NPPES
Washington MEDICAID 6154702
Washington Other 2143800

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