Lakeland Village Pharmacy

LBN: Washington State Dept Of Social And Health Services
Lakeland Village Pharmacy is an health care organization with primary practice located at S 2320 Salnave Road , Medical Lake WA 99022-0200. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Washington State Dept Of Social And Health Services can be contacted via phone (509) 299-1948, or through Berg, Carmen Joy via phone (509) 299-1948.

Contact Information

Primary practice address
S 2320 Salnave Road Medical Lake WA 99022-0200
Phone: (509) 299-1948
Fax: (509) 299-1967
Website:
Map and Directions
Authorized official contact:
Name: Berg, Carmen Joy RPH
Phone: (509) 299-1948

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHAR.CF.00000468 Washington

Profile Details

NPI number 1457414138
LBN Legal business name Washington State Dept Of Social And Health Services
DBA Doing business as Lakeland Village Pharmacy
Authorized official Berg, Carmen Joy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 7th, 2023 - about last year

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 1457414138 NPPES
Washington Other 4904795 NCPDP

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