14TH AVENUE PHARMACY INC

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.

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Contact Information

14TH AVENUE PHARMACY INC

1200 N 14TH AVE
STE 100
PASCO, WA 99301-4182

Phone: 509-547-8360
Fax: 509-547-7571
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for 14TH AVENUE PHARMACY INC

NPI # 1710091608

LBN Legal business name 14TH AVENUE PHARMACY INC

Authorized official SCOTT LOUDERBACK - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/18/2006

Last updated 06/25/2008 - About 18 years ago

Identifiers

WA	License #	CF00058660
	Other	4931932	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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