Laketown Pharmacy

LBN: Laketown Pharmacy Pllc
Laketown Pharmacy is an health care organization with primary practice located at 1550 S Pioneer Way Ste 105 , Moses Lake WA 98837-4637. 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. Laketown Pharmacy Pllc can be contacted via phone (509) 765-8891, or through Duvall, Mark L via phone (509) 765-8891.

Contact Information

Primary practice address
1550 S Pioneer Way Ste 105 Moses Lake WA 98837-4637
Phone: (509) 765-8891
Fax: (509) 765-4280
Website:
Map and Directions
Authorized official contact:
Name: Duvall, Mark L
Phone: (509) 765-8891

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60642318 Washington

Profile Details

NPI number 1447611280
LBN Legal business name Laketown Pharmacy Pllc
DBA Doing business as Laketown Pharmacy
Authorized official Duvall, Mark L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2016
Last updated Mar 1st, 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 1447611280 NPPES
Other 2160414 PK
MEDICAID 2070654 PK

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