Kendrick Pharmacy

LBN: Kendrick Pharmacy Inc
Kendrick Pharmacy is an health care organization with primary practice located at 414 Main St , Gooding ID 83330-1315. 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. Kendrick Pharmacy Inc can be contacted via phone (208) 934-4000, or through Sackman, Gary via phone (208) 934-4000.

Contact Information

Primary practice address
414 Main St Gooding ID 83330-1315
Phone: (208) 934-4000
Fax: (208) 934-8899
Website:
Map and Directions
Authorized official contact:
Name: Sackman, Gary RPH
Phone: (208) 934-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 503CP Idaho

Profile Details

NPI number 1023122090
LBN Legal business name Kendrick Pharmacy Inc
DBA Doing business as Kendrick Pharmacy
Authorized official Sackman, Gary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Sep 16th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023122090 NPPES
Other 2019764 PK
MEDICAID 002443200 PK

Popular Providers