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WMSO LLC NPI 1831158229


NPI Information

NPI: 1831158229
Provider Name: WMSO LLC

Doing Business As: HOLLADAY DRUG #1139

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
39 S HOLLADAY DR
SEASIDE, OR
ZIP 97138
Phone: (503) 738-5362
Get Directions

WMSO LLC is a pharmacy in Seaside, OR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. WMSO LLC NPI is 1831158229. The provider is registered as an organization entity type.
The provider Is Doing Business As Holladay Drug #1139.

The provider's business location address is:

39 S HOLLADAY DR
SEASIDE, OR
ZIP 97138-716
Phone: (503) 738-5362
Fax: (503) 717-0325

The provider's authorized official is Winfield F Muffett .
The authorized official title is Owner and has the following contact phone number (360) 693-5879.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 11/20/2009.


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 License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies4754300001OREGONNo
2333600000XPharmacyIP0002147CSOREGONYes

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
13814983OTHERNCPDP
2234858MEDICAIDOREGON
34754300001MEDICARE NSCOREGON

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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