Hi-School Pharmacy #1152

LBN: Bolger Pharmacy Inc
Hi-School Pharmacy #1152 is an health care organization with primary practice located at 207 S Broadway , Estacada OR 97023. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Bolger Pharmacy Inc can be contacted via phone (503) 630-3266, or through Holt, Jack via phone (503) 873-8391.

Contact Information

Primary practice address
207 S Broadway Estacada OR 97023
Phone: (503) 630-3266
Fax: (503) 630-3288
Website:
Map and Directions
Authorized official contact:
Name: Holt, Jack RPH
Phone: (503) 873-8391

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X NPA0006369 Oregon

Profile Details

NPI number 1518927649
LBN Legal business name Bolger Pharmacy Inc
DBA Doing business as Hi-School Pharmacy #1152
Authorized official Holt, Jack RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 15th, 2010 - about 16 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 1518927649 NPPES
Other 3810961 NCPDP
MEDICAID 049747 NCPDP

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