National Provider Identifier Database

LINCOLN COUNTY HEALTHMART PHARM
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

LINCOLN COUNTY HEALTHMART PHARM
621 MORGAN ST
DAVENPORT, WA99122-5015
Phone: 509-725-3310
Fax: 509-725-3320
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for LINCOLN COUNTY HEALTHMART PHARM

NPI Number 1508940248
Legal business name
LBN
LINCOLN COUNTY HEALTHMART PHARM
Authorized official TOM PAUL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/25/2006
Last updated 01/18/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: CF00003505
  • WA Medicaid: 6045306
  • Other: 2106601 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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