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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WASHINGTON STATE DEPT OF SOCIAL AND HEALTH SERVICES

Active Organization

Retail Pharmacy · MEDICAL LAKE, WA

Registration Details

NPI Number
1457414138
Provider Type
Organization
NPI Issued
Dec 18, 2006 (19.35978336833 yrs)
Last Updated
Mar 7, 2023
License
PHAR.CF.00000468 (WA)

Practice Information

Address
S 2320 SALNAVE ROAD
MEDICAL LAKE, WA, 990220200
Browse WA providers · Browse ZIP 99022
Phone
5092991948
Fax
5092991967
Primary Specialty
Retail Pharmacy
3336L0003X

Other Retail Pharmacy Organizations in MEDICAL LAKE, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.