# KIRKS DRUG INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kirks at BHR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598903940
- **Authorized official:** JIM RODGERS (GENERAL MANAGER)
- **Authorized official phone:** (360) 456-5475

## Contact information

- **Practice address:** 4422 6TH AVE SE, LACEY, WA 98503-1020
- **Practice address phone:** (360) 456-2030
- **Practice address fax:** (360) 456-2318
- **Mailing address:** 4422 6TH AVE SE, LACEY, WA 98503-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 60062942 | WA | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 02/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4933164 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 6016646 | — | WA |