Zillah Drug Store

LBN: Zillah Drug Store Inc
Zillah Drug Store is an health care organization with primary practice located at 607 1St Ave , Zillah WA 98953-0565. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Zillah Drug Store Inc can be contacted via phone (509) 829-5691, or through Smith, Lloyd via phone (509) 829-5691.

Contact Information

Primary practice address
607 1St Ave Zillah WA 98953-0565
Phone: (509) 829-5691
Fax: (509) 829-5691
Website:
Map and Directions
Authorized official contact:
Name: Smith, Lloyd
Phone: (509) 829-5691

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X CF00005195 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1891853925
LBN Legal business name Zillah Drug Store Inc
DBA Doing business as Zillah Drug Store
Authorized official Smith, Lloyd
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 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 1891853925 NPPES
Other 4910534 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 6020598 OTHER ID NUMBER-COMMERCIAL NUMBER

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