Kohal Pharmacy Inc

LBN: Kohal Pharmacy Inc
Kohal Pharmacy Inc is an health care organization with primary practice located at 740 Mckinley Ave , Kellogg ID 83837-2693. 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) 786-9303, or through Corbridge, Sandalee via phone (435) 245-6422.

Contact Information

Primary practice address
740 Mckinley Ave Kellogg ID 83837-2693
Phone: (208) 786-9303
Fax: (208) 783-4302
Website:
Map and Directions
Authorized official contact:
Name: Corbridge, Sandalee
Phone: (435) 245-6422

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1095CP Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588799902
LBN Legal business name Kohal Pharmacy Inc
DBA Doing business as
Authorized official Corbridge, Sandalee
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jan 3rd, 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 1588799902 NPPES
Idaho MEDICAID 0025279

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