Bartell Drugs #22

LBN: The Bartell Drug Co
Bartell Drugs #22 is an health care organization with primary practice located at 21615 Pacific Hwy S , Des Moines WA 98198-7703. 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. The Bartell Drug Co can be contacted via phone (206) 878-4627, or through Koo, Peter via phone (206) 763-2626.

Contact Information

Primary practice address
21615 Pacific Hwy S Des Moines WA 98198-7703
Phone: (206) 878-4627
Fax: (206) 878-1945
Website:
Map and Directions
Authorized official contact:
Name: Koo, Peter
Phone: (206) 763-2626

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00002358 Washington

Profile Details

NPI number 1255441937
LBN Legal business name The Bartell Drug Co
DBA Doing business as Bartell Drugs #22
Authorized official Koo, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 12th, 2016 - 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 1255441937 NPPES
Other 2107820 PK
MEDICAID 6150304 PK
MEDICAID 0333520005 PK

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