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Contact Information

FIDALGO PHARMACY SERVICES, INC
1415 COMMERCIAL AVE STE B
ANACORTES, WA98221-2232
 Phone: 360-299-2374
 Fax: 360-293-0945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FIDALGO PHARMACY SERVICES, INC

NPI # 1649364951
LBN Legal business name FIDALGO PHARMACY SERVICES, INC
Authorized official JOHN THOMPSON - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
WA License # CF56252
WA Medicaid 6021869
Other 4925042 OTHER ID NUMBER-COMMERCIAL NUMBER
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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