Chinook Pharmacy, Inc.

LBN: Chinook Pharmacy, Inc.
Chinook Pharmacy, Inc. is an health care organization with primary practice located at 11 S Forks Ave , Forks WA 98331-9006. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Chinook Pharmacy, Inc. can be contacted via phone (360) 374-2294, or through Carlson, Charles E via phone (360) 374-2294.

Contact Information

Primary practice address
11 S Forks Ave Forks WA 98331-9006
Phone: (360) 374-2294
Fax: (360) 374-5057
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Charles E RPH
Phone: (360) 374-2294

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X CF00058860 Washington

Profile Details

NPI number 1861409880
LBN Legal business name Chinook Pharmacy, Inc.
DBA Doing business as
Authorized official Carlson, Charles E RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1861409880 NPPES
Washington Other 16470 LABOR & INDUSTRIES
Washington MEDICAID 6090203 LABOR & INDUSTRIES
Washington MEDICAID 9045162 LABOR & INDUSTRIES

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