NOOKSACK VALLEY DRUG STORE LLC NPI 1184764458

NPI Information

NOOKSACK VALLEY DRUG STORE LLC is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Everson, WA. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. NOOKSACK VALLEY DRUG STORE LLC NPI is 1184764458. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Drug.

The provider's business location address is:

208 E MAIN ST
EVERSON, WA
ZIP 98247-307
Phone: (360) 966-3481
Fax: (360) 966-3083

The provider's authorized official is Meagan Kammenga .
The authorized official title is Owner and has the following contact phone number (360) 966-3481.

The CLIA number assigned to this NPI record is 50D2141971 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/10/2023.

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:

Other Identifiers

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