is a Pharmacy in Renton, Washington. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for is 1063524940. The last update date is .
's current location address is 4700 Ne 4th St, Renton, Washington. You can contact this provider via phone number 4257931015 and fax number 4252359703. The mailing address for is 4700 Ne 4th St, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4700 Ne 4th St, Renton, Washington |
| Phone Number | 4257931015 |
| Fax Number | 4252359703 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063524940 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4700 Ne 4th St |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980594800 |
| Phone Number | 4257931015 |
| Fax Number | 4252359703 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 333520050 | WA | -- | |
| 6021315 | WA | -- | |
| 2110499 | PK |
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