Organization
CHUCKS DRUG
Active
Other names
CHUCKS UNITED DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY NUNN (OWNER)
(360) 829-0451
Entity
Organization
Contact information
Practice address
787 MAIN ST, BUCKLEY, WA 98321-8509
(360) 829-0451
(360) 829-8028
Mailing address
PO BOX 2360, BUCKLEY, WA 98321-2360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00055942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108609
PK
—
05
—
6130058
—
WA
Enumeration date
11/17/2006
Last updated
11/22/2016
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