Fiesta Pharmacy

LBN: Est Llc
Fiesta Pharmacy is an health care organization with primary practice located at 115 S 10Th Ave , Pasco WA 99301-6806. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Est Llc can be contacted via phone (509) 545-0596, or through Mohamed, Eslam via phone (732) 762-4960.

Contact Information

Primary practice address
115 S 10Th Ave Pasco WA 99301-6806
Phone: (509) 545-0596
Fax: (509) 547-3355
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Eslam RPH
Phone: (732) 762-4960

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.60219353 Washington
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1477852838
LBN Legal business name Est Llc
DBA Doing business as Fiesta Pharmacy
Authorized official Mohamed, Eslam RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2011
Last updated Aug 10th, 2016 - about 10 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 1477852838 NPPES
Other 2129654 PK
MEDICAID 2044998 PK

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