Mike'S Eastside Drugs in Vancouver - Compounding Pharmacy
Mike'S Eastside Drugs - NPI 1972698454
Mike'S Eastside Drugs is a Compounding Pharmacy in Vancouver, Washington. Mike'S Eastside Drugs practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Mike'S Eastside Drugs is 1972698454. The last update date is 2020-08-22.
Mike'S Eastside Drugs's current location address is 8506 E. Mill Plain Boulevard, Vancouver, Washington. You can contact this provider via phone number 3606943353. The mailing address for Mike'S Eastside Drugs is 8506 E. Mill Plain Boulevard, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mike'S Eastside Drugs |
|---|---|
| Address | 8506 E. Mill Plain Boulevard, Vancouver, Washington |
| Phone Number | 3606943353 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Graeff Michael |
| Credentials | R.PH., FAC |
| Telephone Number | 3606943353 |
NPI Number Detail
| NPI Number | 1972698454 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8506 E. Mill Plain Boulevard |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 98664 |
| Phone Number | 3606943353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | CF00001931 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4909884 | WA | NABP NUMBER | |
| 6082606 | WA | -- |
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What is the unique 10-digit identifier code assigned to Mike'S Eastside Drugs by the Centers for Medicare & Medicaid Services?
The Mike'S Eastside Drugs has been issued the NPI (National Provider Identifier) 1972698454 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mike'S Eastside Drugs?
The Mike'S Eastside Drugs is physically situated at 8506 E. Mill Plain Boulevard, in the city of Vancouver, state of WA, with the postal code 98664.
What is Mike'S Eastside Drugs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mike'S Eastside Drugs's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date was the 1972698454 assigned to Mike'S Eastside Drugs?
The Mike'S Eastside Drugs was issued its 1972698454 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mike'S Eastside Drugs last refreshed?
The information related to the Mike'S Eastside Drugs, including its address, specialty, and other relevant details, was last updated on 2020-08-22.