Sunnyside Drug

LBN: Kellogg Drugs Llc
Sunnyside Drug is an health care organization with primary practice located at 131 West Cameron Ave , Kellogg ID 83837. 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. Kellogg Drugs Llc can be contacted via phone (208) 784-6221, or through Shackelford, Tonya via phone (813) 304-2221.

Contact Information

Primary practice address
131 West Cameron Ave Kellogg ID 83837
Phone: (208) 784-6221
Fax: (208) 556-7311
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Tonya
Phone: (813) 304-2221

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760576193
LBN Legal business name Kellogg Drugs Llc
DBA Doing business as Sunnyside Drug
Authorized official Shackelford, Tonya
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Sep 15th, 2020 - about 6 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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