City Center Drug

LBN: City Center Drug Inc
City Center Drug is an health care organization with primary practice located at 108 E Wishkah St , Aberdeen WA 98520-6508. 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. City Center Drug Inc can be contacted via phone (360) 532-5182, or through O Donnell, Patrick via phone (360) 532-5182.

Contact Information

Primary practice address
108 E Wishkah St Aberdeen WA 98520-6508
Phone: (360) 532-5182
Fax: (360) 532-5887
Website:
Map and Directions
Authorized official contact:
Name: O Donnell, Patrick
Phone: (360) 532-5182

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00059225 Washington

Profile Details

NPI number 1649271214
LBN Legal business name City Center Drug Inc
DBA Doing business as City Center Drug
Authorized official O Donnell, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2005
Last updated Aug 13th, 2014 - about 12 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 1649271214 NPPES
Other 2106523 PK
MEDICAID 6027882 PK

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