Northwoods Lodge Pharmacy

LBN: Clearbrook Lodge Inc
Northwoods Lodge Pharmacy is an health care organization with primary practice located at 2321 Nw Schold Pl , Silverdale WA 98383-9504. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Clearbrook Lodge Inc can be contacted via phone (360) 698-3930, or through Smith, David via phone (360) 698-3930.

Contact Information

Primary practice address
2321 Nw Schold Pl Silverdale WA 98383-9504
Phone: (360) 698-3930
Fax: (360) 307-9562
Website:
Map and Directions
Authorized official contact:
Name: Smith, David
Phone: (360) 698-3930

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHAR.CF.60295845 Washington

Profile Details

NPI number 1770589129
LBN Legal business name Clearbrook Lodge Inc
DBA Doing business as Northwoods Lodge Pharmacy
Authorized official Smith, David
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Jun 19th, 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 1770589129 NPPES
Other 2110559 PK

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