Medical Arts Pharmacy
LBN: Sta-Raw East, Inc.
Medical Arts Pharmacy is an health care organization with primary practice located at 901 15Th Ave , Longview WA 98632-2322. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty.
Sta-Raw East, Inc. can be contacted via phone (360) 423-7847, or through Choate, Stephen M via phone (360) 423-7847.
Contact Information
Primary practice address
901 15Th Ave
Longview WA 98632-2322
Phone: (360) 423-7847
Fax: (360) 414-4112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1568538619 |
|---|---|
| LBN Legal business name | Sta-Raw East, Inc. |
| DBA Doing business as | Medical Arts Pharmacy |
| Authorized official | Choate, Stephen M RPH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1568538619 | NPPES |
| Washington | MEDICAID | 6019285 |
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