River Village Pharmacy

LBN: River Village Pharmacy
River Village Pharmacy is an health care organization with primary practice located at 3708 Tieton Dr # A , Yakima WA 98902-3664. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. River Village Pharmacy can be contacted via phone (509) 469-3198, or through Luther, Phil via phone (509) 469-3198.

Contact Information

Primary practice address
3708 Tieton Dr # A Yakima WA 98902-3664
Phone: (509) 469-3198
Fax: (509) 469-3205
Website:
Map and Directions
Authorized official contact:
Name: Luther, Phil
Phone: (509) 469-3198

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHAR.CF.60320638 Washington

Profile Details

NPI number 1477632156
LBN Legal business name River Village Pharmacy
DBA Doing business as River Village Pharmacy
Authorized official Luther, Phil
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 19th, 2018 - about 8 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 1477632156 NPPES
Other 2107472 PK
MEDICAID 6026025 PK

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