<Unavail>

LBN: Heddens Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 196 Sussex Ave W , Tenino WA 98589-9327. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Heddens Pharmacy Inc can be contacted via phone (360) 264-2575, or through Harrell, Jeffrey Shane via phone (360) 264-2575.

Contact Information

Primary practice address
196 Sussex Ave W Tenino WA 98589-9327
Phone: (360) 264-2575
Fax: (360) 264-5039
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Jeffrey Shane PHARMD
Phone: (360) 264-2575

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF00004786 Washington

Profile Details

NPI number 1588675086
LBN Legal business name Heddens Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Harrell, Jeffrey Shane PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 4th, 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 1588675086 NPPES
Other 2107554 PK
MEDICAID 6035208 PK

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