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:
Map and Directions
Authorized official contact:
Name: Edwards, Wil O PHARMACIST
Phone: (208) 875-1212

Health care specialties

SpecialtyCodeLicense #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 last year

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 1144356494 NPPES
Idaho MEDICAID 805885600

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