Wsu Cougar Health Services Pharmacy

LBN: Washington State University
Wsu Cougar Health Services Pharmacy is an health care organization with primary practice located at 1125 Se Washington Street , Pullman WA 99163. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Washington State University can be contacted via phone (509) 335-5742, or through Hedenstrom, Gordon B via phone (509) 335-5742.

Contact Information

Primary practice address
1125 Se Washington Street Pullman WA 99163
Fax: (509) 335-5745
Website:
Authorized official contact:
Name: Hedenstrom, Gordon B PHARMACIST

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X CF0056228 Washington

Profile Details

NPI number 1427105030
LBN Legal business name Washington State University
DBA Doing business as Wsu Cougar Health Services Pharmacy
Authorized official Hedenstrom, Gordon B PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
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 1427105030 NPPES
Washington Other 4926537 NABP
Washington MEDICAID 6012942 NABP

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