STA-RAW EAST INC. NPI 1568538619

NPI Information

NPI: 1568538619
Provider Name: STA-RAW EAST, INC.

Doing Business As: MEDICAL ARTS PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
901 15TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 423-7847
Get Directions

STA-RAW EAST, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Longview, WA. STA-RAW EAST, INC. NPI is 1568538619. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Arts Pharmacy.

The provider's business location address is:

901 15TH AVE
LONGVIEW, WA
ZIP 98632-322
Phone: (360) 423-7847
Fax: (360) 414-4112

The provider's authorized official is Stephen M Choate .
The authorized official title is Owner and has the following contact phone number (360) 423-7847.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	Yes
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	X
3	335E00000X	Prosthetic/Orthotic Supplier		X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6019285	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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