<Unavail>
LBN: Well Life Pharmacy Incorporated
<Unavail> is an health care organization with primary practice located at 565 N Vest St , Post Falls ID 83854-7066. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Well Life Pharmacy Incorporated can be contacted via phone (208) 773-2499, or through Foster, Jeffrey via phone (208) 267-4004.
Contact Information
Primary practice address
565 N Vest St
Post Falls ID 83854-7066
Phone: (208) 773-2499
Fax: (208) 773-6309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2161RP | Idaho |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1598868770 |
|---|---|
| LBN Legal business name | Well Life Pharmacy Incorporated |
| DBA Doing business as | <Unavail> |
| Authorized official | Foster, Jeffrey RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jan 18th, 2017 - about 9 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 | 1598868770 | NPPES |
| Idaho | MEDICAID | 807728600 | |
| Idaho | MEDICAID | 6030860 | |
| Idaho | MEDICAID | 807722900 | |
| Idaho | Other | 2020945 |
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