Medical Center Pharmacy
LBN: Sandpoint Clinic Pharmacy Inc
Medical Center Pharmacy is an health care organization with primary practice located at 450 Nw Gilman Blvd Ste 107, Issaquah WA 98027-2483. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sandpoint Clinic Pharmacy Inc can be contacted via phone (425) 392-8650, or through Dafforn, Martin via phone (425) 392-8650.
Contact Information
Primary practice address
450 Nw Gilman Blvd Ste 107
Issaquah WA 98027-2483
Phone: (425) 392-8650
Fax: (425) 391-8624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF00003564 | Washington |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1801927900 |
|---|---|
| LBN Legal business name | Sandpoint Clinic Pharmacy Inc |
| DBA Doing business as | Medical Center Pharmacy |
| Authorized official | Dafforn, Martin RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jan 31st, 2010 - about 16 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 | 1801927900 | NPPES |
| Other | 4919330 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 6006934 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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