Des Moines Drug Store Inc

LBN: Des Moines Drug Store Inc
Des Moines Drug Store Inc is an health care organization with primary practice located at 627 So 227Th St , Des Moines WA 98198-6827. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Des Moines Drug Store Inc can be contacted via phone (206) 878-2345, or through Malmo, Jeffery Lee via phone (206) 878-2345.

Contact Information

Primary practice address
627 So 227Th St Des Moines WA 98198-6827
Phone: (206) 878-2345
Fax: (206) 878-6839
Website:
Map and Directions
Authorized official contact:
Name: Malmo, Jeffery Lee RPH
Phone: (206) 878-2345

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X CF00001306 Washington

Profile Details

NPI number 1700954781
LBN Legal business name Des Moines Drug Store Inc
DBA Doing business as
Authorized official Malmo, Jeffery Lee RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 13th, 2008 - about 18 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 1700954781 NPPES
Washington Other 4903286 NABP
Washington MEDICAID 6021703 NABP

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