<Unavail>

LBN: Samy'S Drug Store Inc.
<Unavail> is an health care organization with primary practice located at 3525 Ensign Rd Ne Suite H, Olympia WA 98506-5065. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Samy'S Drug Store Inc. can be contacted via phone (360) 878-8174, or through Gajjala, Umesh via phone (509) 631-1453.

Contact Information

Primary practice address
3525 Ensign Rd Ne Suite H Olympia WA 98506-5065
Phone: (360) 878-8174
Fax: (360) 878-8179
Website:
Map and Directions
Authorized official contact:
Name: Gajjala, Umesh
Phone: (509) 631-1453

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.60392660 Washington

Profile Details

NPI number 1396187613
LBN Legal business name Samy'S Drug Store Inc.
DBA Doing business as <Unavail>
Authorized official Gajjala, Umesh
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2013
Last updated Dec 9th, 2024 - about 2 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 1396187613 NPPES
Washington MEDICAID 2033860

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