CASCADE PARK PHARMACY INC; NPI #1912582164

Contact Information

CASCADE PARK PHARMACY INC

925 NE 136TH AVE STE 105
VANCOUVER, WA 98684-0995

Phone: 877-425-6337
Fax: 877-509-6337
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CASCADE PARK PHARMACY INC

NPI Number	`1912582164`
LBN Legal business name	CASCADE PARK PHARMACY INC
Authorized official	ANDERSON JOLLY - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/09/2021
Last updated	03/09/2021 - About 5 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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