Lacey Square Pharmacy Inc

LBN: Lacey Square Pharmacy Inc
Lacey Square Pharmacy Inc is an health care organization with primary practice located at 6020 Pacific Ave Se Ste C , Lacey WA 98503-1319. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Lacey Square Pharmacy Inc can be contacted via phone (425) 251-6335, or through Jolly, Anderson Shawn via phone (425) 251-6335.

Contact Information

Primary practice address
6020 Pacific Ave Se Ste C Lacey WA 98503-1319
Phone: (425) 251-6335
Fax: (425) 251-6337
Website:
Map and Directions
Authorized official contact:
Name: Jolly, Anderson Shawn RPH
Phone: (425) 251-6335

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1750948956
LBN Legal business name Lacey Square Pharmacy Inc
DBA Doing business as
Authorized official Jolly, Anderson Shawn RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2019
Last updated May 22nd, 2019 - about 7 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 1750948956 NPPES
Washington Other PHAR.CF.60953133 WA PHARMACY LICENSE

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