Northwest Pharmacy
LBN: Northwest Pharmacy Services Inc
Northwest Pharmacy is an health care organization with primary practice located at 210 6Th St , Potlatch ID 83855-9700. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Infusion Therapy, Laboratories / Clinical Medical Laboratory, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Northwest Pharmacy Services Inc can be contacted via phone (208) 875-1212, or through Edwards, Wil O via phone (208) 875-1212.
Contact Information
Primary practice address
210 6Th St
Potlatch ID 83855-9700
Phone: (208) 875-1212
Fax: (208) 875-0859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Suppliers / Pharmacy | 333600000X | 814CP | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1144356494 |
|---|---|
| LBN Legal business name | Northwest Pharmacy Services Inc |
| DBA Doing business as | Northwest Pharmacy |
| Authorized official | Edwards, Wil O PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Apr 26th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144356494 | NPPES |
| Idaho | MEDICAID | 805885600 |
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