Red Cross Pharmacy Inc

LBN: Red Cross Pharmacy Inc
Red Cross Pharmacy Inc is an health care organization with primary practice located at 509 E Main St , Kendrick ID 83537-0131. 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. Red Cross Pharmacy Inc can be contacted via phone (208) 289-5941, or through Everett, Daniel via phone (208) 289-5941.

Contact Information

Primary practice address
509 E Main St Kendrick ID 83537-0131
Phone: (208) 289-5941
Fax: (208) 289-5942
Website:
Map and Directions
Authorized official contact:
Name: Everett, Daniel B PHARM
Phone: (208) 289-5941

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 865RP Idaho

Profile Details

NPI number 1780665463
LBN Legal business name Red Cross Pharmacy Inc
DBA Doing business as Red Cross Pharmacy Inc
Authorized official Everett, Daniel B PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Dec 30th, 2015 - about 11 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 1780665463 NPPES
Idaho MEDICAID 002709100
Idaho Other 2020091

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