Tekoa Pharmacy

LBN: Tekoa Rx Llc
Tekoa Pharmacy is an health care organization with primary practice located at 124 N Crosby St , Tekoa WA 99033. 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. Tekoa Rx Llc can be contacted via phone (509) 284-4205, or through Sperber, Jessica Lorraine via phone (509) 284-4205.

Contact Information

Primary practice address
124 N Crosby St Tekoa WA 99033
Phone: (509) 284-4205
Fax: (509) 284-3076
Website:
Map and Directions
Authorized official contact:
Name: Sperber, Jessica Lorraine
Phone: (509) 284-4205

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.00056426 Washington

Profile Details

NPI number 1710046180
LBN Legal business name Tekoa Rx Llc
DBA Doing business as Tekoa Pharmacy
Authorized official Sperber, Jessica Lorraine
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Apr 24th, 2019 - about 7 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 1710046180 NPPES
Other 2110562 PK
MEDICAID 6022479 PK

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