Village Pharmacy Services

LBN: Tieton Village Drug Inc.
Village Pharmacy Services is an health care organization with primary practice located at 10410 E 9Th Ave , Spokane Valley WA 99206-3510. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Tieton Village Drug Inc. can be contacted via phone (509) 505-1300, or through Luther, Phil via phone (509) 961-2103.

Contact Information

Primary practice address
10410 E 9Th Ave Spokane Valley WA 99206-3510
Phone: (509) 505-1300
Fax: (866) 934-0323
Website:
Map and Directions
Authorized official contact:
Name: Luther, Phil
Phone: (509) 961-2103

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902459100
LBN Legal business name Tieton Village Drug Inc.
DBA Doing business as Village Pharmacy Services
Authorized official Luther, Phil
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2019
Last updated Dec 28th, 2020 - about 6 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 1902459100 NPPES
Other 4939229 NCPDP
MEDICAID 2146642 NCPDP

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