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Contact Information

OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC
236 N. 2ND AVE.
OKANOGAN, WA98840
 Phone: 509-422-9958
 Fax: 509-422-9998
 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 OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC

NPI Number 1801169628
LBN Legal business name OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC
Authorized official TRENT DANIELSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2012
Last updated 08/12/2016 - About 10 years ago
Identifiers
WA License # PHAR.CF.60427458
WA Medicaid 2035201
Other 2142898 PK
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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