Island Drug #1142

LBN: Soas, Llc
Island Drug #1142 is an health care organization with primary practice located at 8970 State Route 525 , Clinton WA 98236. The organization recently has 7 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Soas, Llc can be contacted via phone (360) 341-3885, or through Syring, Aaron M via phone (360) 341-3885.

Contact Information

Primary practice address
8970 State Route 525 Clinton WA 98236
Phone: (360) 341-3885
Fax: (360) 341-3886
Website:
Map and Directions
Authorized official contact:
Name: Syring, Aaron M PHARM.D.
Phone: (360) 341-3885

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1336117597
LBN Legal business name Soas, Llc
DBA Doing business as Island Drug #1142
Authorized official Syring, Aaron M PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 11th, 2022 - about 2 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 1336117597 NPPES
Washington Other 4931312 NCPDP NUMBER
Washington Other CF00058260 NCPDP NUMBER
Washington Other 0195560 NCPDP NUMBER
Washington MEDICAID 6028252 NCPDP NUMBER

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