Healthcare Provider Details

I. General information

NPI: 1003841529
Provider Name (Legal Business Name): HALPINS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 02/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11406 E SPRAGUE AVE
SPOKANE VALLEY WA
99206-5224
US

IV. Provider business mailing address

PO BOX 14169
SPOKANE VALLEY WA
99214-0169
US

V. Phone/Fax

Practice location:
  • Phone: 509-928-9500
  • Fax: 509-928-9504
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberCF00004631
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RON GILL
Title or Position: OWNER
Credential:
Phone: 509-928-9500