Fairway Drug, Inc
LBN: Fairway Drug, Inc
Fairway Drug, Inc is an health care organization with primary practice located at 1758 Front St # 106 , Lynden WA 98264-1261. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fairway Drug, Inc can be contacted via phone (360) 354-1226, or through Koehler, Jerry P. via phone (360) 354-1226.
Contact Information
Primary practice address
1758 Front St # 106
Lynden WA 98264-1261
Phone: (360) 354-1226
Fax: (360) 354-6561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHAR.CF.00003781 | Washington |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF00003781 | Washington |
Profile Details
| NPI number | 1780760454 |
|---|---|
| LBN Legal business name | Fairway Drug, Inc |
| DBA Doing business as | |
| Authorized official | Koehler, Jerry P. RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Oct 17th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780760454 | NPPES |
| Washington | MEDICAID | 6006720 |
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