Organization
LAKEWOOD PHARMACY INC
Active
Other names
LAKEWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG K CHANG (PRESIDENT)
(253) 581-3426
Entity
Organization
Contact information
Practice address
8741 S TACOMA WAY, LAKEWOOD, WA 98499-4544
(253) 581-3426
(253) 581-3428
Mailing address
8741 S TACOMA WAY, LAKEWOOD, WA 98499-4544
(253) 581-3426
(253) 581-3428
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60367519
WA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108394
PK
—
05
—
6027874
—
WA
Enumeration date
12/08/2006
Last updated
11/26/2019
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