Terrace Village Pharmacy

LBN: Tieton Village Drugs Inc
Terrace Village Pharmacy is an health care organization with primary practice located at 4040 Terrace Heights Dr Ste 120, Yakima WA 98901-1424. 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. Tieton Village Drugs Inc can be contacted via phone (509) 248-3311, or through Davis, Ryan via phone (509) 469-3198.

Contact Information

Primary practice address
4040 Terrace Heights Dr Ste 120 Yakima WA 98901-1424
Phone: (509) 248-3311
Fax: (509) 248-3322
Website:
Map and Directions
Authorized official contact:
Name: Davis, Ryan
Phone: (509) 469-3198

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00058481 Washington

Profile Details

NPI number 1831110808
LBN Legal business name Tieton Village Drugs Inc
DBA Doing business as Terrace Village Pharmacy
Authorized official Davis, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Sep 17th, 2013 - about 11 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 1831110808 NPPES
Washington MEDICAID 6028955
Washington Other 2108645

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