William'S Fairway Drug #1162

LBN: Williams Medco Inc
William'S Fairway Drug #1162 is an health care organization with primary practice located at 2515 Newburg Hwy , Woodburn OR 97071. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Williams Medco Inc can be contacted via phone (503) 981-3591, or through Holt, Jack L. via phone (503) 981-3591.

Contact Information

Primary practice address
2515 Newburg Hwy Woodburn OR 97071
Phone: (503) 981-3591
Fax: (503) 982-0566
Website:
Map and Directions
Authorized official contact:
Name: Holt, Jack L. RPH
Phone: (503) 981-3591

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP-0000585-CS Oregon
Suppliers / Pharmacy 333600000X RP0000585CS Oregon

Profile Details

NPI number 1639162217
LBN Legal business name Williams Medco Inc
DBA Doing business as William'S Fairway Drug #1162
Authorized official Holt, Jack L. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2005
Last updated Nov 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639162217 NPPES
Other 38-11216 NCPDP
MEDICAID 119680 NCPDP

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