Hawks Prairie Pharmacy

LBN: Hawks Prairie Pharmacy
Hawks Prairie Pharmacy is an health care organization with primary practice located at 2539 Marvin Rd Ne Ste E , Lacey WA 98516-3175. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Hawks Prairie Pharmacy can be contacted via phone (360) 438-3072, or through Thimmegowda, Sunil B via phone (360) 438-3072.

Contact Information

Primary practice address
2539 Marvin Rd Ne Ste E Lacey WA 98516-3175
Phone: (360) 438-3072
Fax: (360) 438-3532
Website:
Map and Directions
Authorized official contact:
Name: Thimmegowda, Sunil B RPH
Phone: (360) 438-3072

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1376277236
LBN Legal business name Hawks Prairie Pharmacy
DBA Doing business as
Authorized official Thimmegowda, Sunil B RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2022
Last updated Jul 16th, 2022 - about 4 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 1376277236 NPPES
Other 1508292707 NPI
MEDICAID 2031538 NPI

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