Kohal Pharmacy Inc

LBN: Kohal Pharmacy Inc
Kohal Pharmacy Inc is an health care organization with primary practice located at 504 N Division Ave , Pinehurst ID 83850. 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. Kohal Pharmacy Inc can be contacted via phone (208) 682-3920, or through Wright, Tony via phone (208) 682-4015.

Contact Information

Primary practice address
504 N Division Ave Pinehurst ID 83850
Phone: (208) 682-3920
Fax: (208) 682-3939
Website:
Map and Directions
Authorized official contact:
Name: Wright, Tony RPH
Phone: (208) 682-4015

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 857CP Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1053453910
LBN Legal business name Kohal Pharmacy Inc
DBA Doing business as Kohal Pharmacy Inc
Authorized official Wright, Tony RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Feb 22nd, 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 1053453910 NPPES
Idaho MEDICAID 0025278

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