Kohal Pharmacy Wallace

LBN: Kohal Pharmacy Inc
Kohal Pharmacy Wallace is an health care organization with primary practice located at 800 Bank St , Wallace ID 83873-2306. 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) 752-1833, or through Wright, Tony via phone (208) 220-6150.

Contact Information

Primary practice address
800 Bank St Wallace ID 83873-2306
Phone: (208) 752-1833
Fax: (208) 752-1831
Website:
Map and Directions
Authorized official contact:
Name: Wright, Tony
Phone: (208) 220-6150

Health care specialties

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

Profile Details

NPI number 1821750738
LBN Legal business name Kohal Pharmacy Inc
DBA Doing business as Kohal Pharmacy Wallace
Authorized official Wright, Tony
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 7th, 2021
Last updated Feb 25th, 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 1821750738 NPPES
Idaho MEDICAID 1821750738

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