Holladay Drug #1139

LBN: Wmso Llc
Holladay Drug #1139 is an health care organization with primary practice located at 39 S Holladay Dr , Seaside OR 97138-6716. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Wmso Llc can be contacted via phone (503) 738-5362, or through Muffett, Winfield F via phone (360) 693-5879.

Contact Information

Primary practice address
39 S Holladay Dr Seaside OR 97138-6716
Fax: (503) 717-0325
Website:
Authorized official contact:
Name: Muffett, Winfield F RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4754300001 Oregon
Suppliers / Pharmacy 333600000X IP0002147CS Oregon

Profile Details

NPI number 1831158229
LBN Legal business name Wmso Llc
DBA Doing business as Holladay Drug #1139
Authorized official Muffett, Winfield F RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Nov 20th, 2009 - about 17 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 1831158229 NPPES
Oregon MEDICAID 234858
Oregon Other 3814983

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