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Contact Information

14TH AVENUE PHARMACY INC.
1200 N 14TH AVE
PASCO, WA99301-4192
 Phone: 509-547-8360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 14TH AVENUE PHARMACY INC.

NPI # 1437193547
LBN Legal business name 14TH AVENUE PHARMACY INC.
Authorized official SCOTT LOUDERBACK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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