Rick'S Hi-School Pharmacy #1147

LBN: Rick'S Hi-School Pharmacy, Inc.
Rick'S Hi-School Pharmacy #1147 is an health care organization with primary practice located at 401 W Columbia River Hwy , Clatskanie OR 97016. 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. Rick'S Hi-School Pharmacy, Inc. can be contacted via phone (503) 728-2102, or through Holt, Jack L via phone (360) 693-5879.

Contact Information

Primary practice address
401 W Columbia River Hwy Clatskanie OR 97016
Phone: (503) 728-2102
Fax: (503) 728-3085
Website:
Map and Directions
Authorized official contact:
Name: Holt, Jack L RPH
Phone: (360) 693-5879

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP0000172CS Oregon
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1811957657
LBN Legal business name Rick'S Hi-School Pharmacy, Inc.
DBA Doing business as Rick'S Hi-School Pharmacy #1147
Authorized official Holt, Jack L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 10th, 2021 - about 5 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 1811957657 NPPES
Washington MEDICAID 6023980
Washington Other 3810644
Washington MEDICAID 036249

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