Northwest Pharmacy Services, Inc.
LBN: Northwest Pharmacy Services, Inc.
Northwest Pharmacy Services, Inc. is an health care organization with primary practice located at 535 Pine St Ste 9 , Potlatch ID 83855-9700. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Northwest Pharmacy Services, Inc. can be contacted via phone (208) 875-1212, or through Edwards Iii, William Ora via phone (208) 875-1212.
Contact Information
Primary practice address
535 Pine St Ste 9
Potlatch ID 83855-9700
Phone: (208) 875-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1770040693 |
|---|---|
| LBN Legal business name | Northwest Pharmacy Services, Inc. |
| DBA Doing business as | |
| Authorized official | Edwards Iii, William Ora |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2019 |
| Last updated | Feb 16th, 2023 - about 3 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 | 1770040693 | NPPES |
| Idaho | MEDICAID | 814RP |
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