| Organization Name: | HALCYON RX INC |
| NPI Number: | 1326142373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN AMINI (OWNER AND PHARMACIST) |
| Mailing Address: | 23801 E Appleway Ave Ste 260b Liberty Lake |
| State: | WA US |
| Postal Code: | 990199687 |
| Phone Number: | 5097553333 |
| Fax Number: | 5097553337 |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | FL0341254 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |