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Organization
MILL CREEK PHARMACY INC
Active
Organization
MILL CREEK PHARMACY INC
Active
Other names
MILL CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SOMERS RPH (PRESIDENT)
(425) 481-7575
Entity
Organization
Contact information
Practice address
1025 153RD ST SE STE 104, MILL CREEK, WA 98012-4051
(425) 481-7575
(425) 338-0167
Mailing address
1025 153RD ST SE STE 104, MILL CREEK, WA 98012-4051
(425) 481-7575
(425) 338-0167
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
PHARCF00003562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4916269
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6145601
—
WA
Enumeration date
08/31/2006
Last updated
05/06/2011
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