Glenwood Pharmacy, Inc

LBN: Glenwood Pharmacy, Inc
Glenwood Pharmacy, Inc is an health care organization with primary practice located at 1105 Michigan Ave , Orofino ID 83544-9005. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Glenwood Pharmacy, Inc can be contacted via phone (208) 476-5727, or through Peterson, Patricia via phone (208) 476-5727.

Contact Information

Primary practice address
1105 Michigan Ave Orofino ID 83544-9005
Phone: (208) 476-5727
Fax: (208) 476-4045
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Patricia
Phone: (208) 476-5727

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2006CP Idaho

Profile Details

NPI number 1386640001
LBN Legal business name Glenwood Pharmacy, Inc
DBA Doing business as
Authorized official Peterson, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 15th, 2013 - about 13 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 1386640001 NPPES
Idaho MEDICAID 002501800
Idaho MEDICAID 002593600
Idaho Other 1303495

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