Olympic Drug #1158

LBN: Cowlitz Pharmacy Inc.
Olympic Drug #1158 is an health care organization with primary practice located at 1244 15Th Ave , Longview WA 98632-3023. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Cowlitz Pharmacy Inc. can be contacted via phone (360) 423-3360, or through Muffett, Winfield F via phone (360) 693-5879.

Contact Information

Primary practice address
1244 15Th Ave Longview WA 98632-3023
Phone: (360) 423-3360
Fax: (360) 423-3364
Website:
Map and Directions
Authorized official contact:
Name: Muffett, Winfield F RPH
Phone: (360) 693-5879

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00058295 Washington

Profile Details

NPI number 1902866155
LBN Legal business name Cowlitz Pharmacy Inc.
DBA Doing business as Olympic Drug #1158
Authorized official Muffett, Winfield F RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 20th, 2009 - about 17 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 1902866155 NPPES
Washington MEDICAID 6028435
Washington Other 4904579

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